| NPI | 1073501003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RAWLEY CEO 812-477-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 50000637A) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2019-10-04 |