| NPI | 1083851042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD SANDY Physician 812-885-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2020-11-05 |