Drb Pc | |
2620 North Walnut Street Suite 400 Bloomington IN 47404 | |
(812) 335-1824 | |
(812) 335-1825 |
Full Name | Drb Pc |
---|---|
Speciality | Internal Medicine |
Location | 2620 North Walnut Street, Bloomington, Indiana |
Authorized Official Name and Position | Daniel R Berg (OWNER) |
Authorized Official Contact | 8123349158 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Drb Pc 2620 North Walnut Street Suite 400 Bloomington IN 47404 Ph: () - | Drb Pc 2620 North Walnut Street Suite 400 Bloomington IN 47404 Ph: (812) 335-1824 |
NPI Number | 1013086792 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013086792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01030985A (Indiana) | Primary |
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