NPI | 1093194805 |
---|---|
Doing Business As | LOCAL 440 CLINIC |
Entity Type | Organization |
Authorized Contact | KARLA SPIVEY Central Support Specialist 317-869-3164 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2015-05-26 |
Last Update Date | 2024-06-27 |