Organization
OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Active
Organization
OURHEALTH PROFESSIONAL PHYSICIAN GROUP, LLC
Active
Other names
Marathon Health at East Bloomington
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY LAYMAN MD (SVP, CORPORATE MEDICAL DIRECTOR)
(317) 727-8698
Entity
Organization
Contact information
Practice address
121 N PETE ELLIS DR STE 102, BLOOMINGTON, IN 47408-4460
(866) 434-3255
Mailing address
10 W MARKET ST STE 2900, INDIANAPOLIS, IN 46204-2964
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
12/27/2024
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