| NPI | 1043275787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L COLEMAN CFO 317-948-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-11-03 |