| NPI | 1073050647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MYERS Partner 317-794-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 074767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 062964) |
| 207R00000X Internal Medicine (Licence: GA 076870) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 076870) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2022-07-11 |