| NPI | 1053626945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DEAN STOCKSTILL President 317-323-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA L06937R) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |