NPI 1457650467
Premier Healthcare, LLC
Practice location
- Address
- 490 S Landmark Ave, Bloomington, IN 47403-5000
- Phone
- (812) 339-2446
- Fax
- (812) 331-3307
- Mailing address
- 550 S Landmark Ave, Bloomington, IN 47403-3239
Authorised official
- Name
- Wesley W Ratliff
- Title
- President
- Phone
- (812) 355-6900
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1457650467
- Entity type
- Organization
- NPI issued
- 17 Mar 2011
- Record last updated
- 9 May 2013
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.