| NPI | 1013150762 |
|---|---|
| Doing Business As | BODYLOGICMD OF INDIANAPOLIS |
| Entity Type | Organization |
| Authorized Contact | ROGER SPAHR Director 866-315-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01033610A) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |