| NPI | 1073502290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY J HALL Manager 812-471-1591 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2014-03-26 |