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NPI Profile for CLARK BRITTAIN DO PC in BLOOMINGTON, IN.
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI Number | 1215908827 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/31/2006 | |
| Last updated | 10/18/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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CLARK BRITTAIN DO PC
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CLARK BRITTAIN DO PC