| NPI | 1073257291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DAWN MEDLEY Vice President 812-891-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2024-01-29 |