| NPI | 1104351055 |
|---|---|
| Other Name | DIAMOND BACK ENERGY FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN VP Corporate Medical Director 317-522-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2024-12-11 |