| Ima East Primary Care | |
|
2605 E Creeks Edge Dr Bloomington IN 47401-8368 | |
| (812) 355-2300 | |
| (812) 355-3251 |
| Full Name | Ima East Primary Care |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 2605 E Creeks Edge Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Wesley W Ratlif (PRESIDENT) |
| Authorized Official Contact | 8123313400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ima East Primary Care 550 S Landmark Ave Bloomington IN 47403-3239 Ph: (812) 355-6900 | Ima East Primary Care 2605 E Creeks Edge Dr Bloomington IN 47401-8368 Ph: (812) 355-2300 |
| NPI Number | 1184855272 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184855272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 01066805A (Indiana) | Primary |
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