| NPI | 1063838936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A HENDERSON Owner 317-490-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OR MD166373) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2016-04-25 |