NPI 1114120029

Allergy & Asthma of Southern Indiana, PC

Organisation Allergy & Immunology Physician Washington, IN

Practice location

Address: 1314 E Walnut St, Washington, IN 47501-2860
Phone: (812) 334-1198
Mailing address: 485 S Landmark Ave, Bloomington, IN 47403-5005

Authorised official

Name: Daniel R McCormack
Title: President
Phone: (812) 334-1198

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 50003795A (IN)

Other Allergy & Immunology providers in Indiana →

Registry record

NPI: 1114120029
Entity type: Organization
NPI issued: 7 Jun 2007
Record last updated: 22 Aug 2020

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.