| NPI | 1043680515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH PITTMAN Owner 812-235-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01058414) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2023-08-25 |