NPI 1417287970

Athelite Orthopedics and Sports Medicine, LLC

Organisation Orthopaedic Foot and Ankle Surgery Physician Bloomington, IN

Practice location

Address: 365 S Park Ridge Rd Suite 102, Bloomington, IN 47401-8361
Phone: (812) 822-2675
Fax: (812) 822-2679

Authorised official

Name: Douglas Alan Flory
Title: Member
Phone: (812) 822-2675

Registered specialties

Orthopaedic Foot and Ankle Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0004X Licence 1052068 (IN)

Other Orthopaedic Surgery providers in Indiana →

Registry record

NPI: 1417287970
Entity type: Organization
NPI issued: 6 Jan 2010
Record last updated: 6 Jan 2010

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.