| NPI | 1063530178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E MURPHY Owner 317-781-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01063061A) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01063061A) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01063061A) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-06-06 |