NPI | 1013327378 |
---|---|
Entity Type | Organization |
Authorized Contact | DINORAH MILNER Owner/Physician 317-494-6563 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01070021A) |
Enumeration Date | 2014-05-07 |
Last Update Date | 2014-07-31 |