| NPI | 1043357726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PALMER SNOOK Owner 812-524-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IN 01047137) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |