| Clark Brittain DO PC | |
|
642 S Walker St Bloomington IN 47403-2158 | |
| (812) 331-9160 | |
| (812) 336-0277 |
| Full Name | Clark Brittain DO PC |
|---|---|
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 642 S Walker St, Bloomington, Indiana |
| Authorized Official Name and Position | P. Clark Brittain (OWNER) |
| Authorized Official Contact | 8123319160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Brittain DO PC 642 S Walker St Bloomington IN 47403-2158 Ph: (812) 331-9160 | Clark Brittain DO PC 642 S Walker St Bloomington IN 47403-2158 Ph: (812) 331-9160 |
| NPI Number | 1215908827 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215908827 | NPI | - | NPPES |
| 000000112969 | Other | IN | ANTHEM BS |
| CJ4778 | Other | IN | TRAVELERS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | () | Primary |
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