| NPI | 1083386163 |
|---|---|
| Doing Business As | BURGEONING HEALTH PROVIDERS LLC |
| Entity Type | Organization |
| Authorized Contact | MALINDA BUTLER Owner 317-506-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-06-16 |