| NPI | 1063489805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN IRVING CRONKHITE Medical Director 812-323-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01029905) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |