| NPI | 1093066896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ERB COO 317-218-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QC1800X |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |