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 Clinic/Center Corporate Health |
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 |