| NPI | 1033480322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALLEN WEBER President/Owner 317-736-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50001782) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |