| NPI | 1104512979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN CHRISTINE CARR Owner 317-697-9296 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-09-28 |