Organization
BLOOMINGTON ANESTHESIOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LACEY BROWN M.D. (PRESIDENT)
(224) 880-6563
Entity
Organization
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-9147
Mailing address
PO BOX 1316, EVANSVILLE, IN 47706-1316
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200039560A
—
IN
Enumeration date
05/22/2006
Last updated
10/17/2023
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