| NPI | 1104876648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCANDREWS Vice President 317-583-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| 207X00000X Orthopaedic Surgery | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 106H00000X Marriage & Family Therapist | |
| 207V00000X Obstetrics & Gynecology | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2011-07-07 |