| NPI | 1104922582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BURDEN Owner 317-682-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 02002905A) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2022-12-20 |