NPI 1033466495
Varicose Vein Treatment Center
Practice location
- Address
- 3209 W Fullerton Pike Suite C, Bloomington, IN 47403-4060
- Phone
- (812) 325-2341
Authorised official
- Name
- Kent a Beams
- Title
- Owner
- Phone
- (812) 325-2341
Registered specialties
Phlebology Physician
Primary
Registry record
- NPI
- 1033466495
- Entity type
- Organization
- NPI issued
- 4 Aug 2012
- Record last updated
- 20 Aug 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.