| NPI | 1104122159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P DURAN Partner 317-392-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01050761A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN IN08001540A) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: IN 01050761A) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |