NPI | 1104021773 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM F. JOHNSON Owner 812-477-6103 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01026896) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2008-07-11 |