| NPI | 1023523750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYATT HORSLEY Medical Director 317-528-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: IN 01076865A) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: IN 01076865A) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |