Organization · Type 2 NPI
Premier Healthcare, LLC
Foot & Ankle Surgery Podiatrist · Bloomington, IN
NPI number
1457650467
Active
Practice location
490 S Landmark Ave
Bloomington, IN 47403-5000
Fax (812) 331-3307
Mailing address
550 S Landmark Ave
Bloomington, IN 47403-3239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Bloomington
About NPI 1457650467
Premier Healthcare, LLC's National Provider Identifier is 1457650467, issued on Mar 17, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bloomington, IN. The record was last updated on May 9, 2013.