| NPI | 1114108164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLAM E HOKE Member 812-256-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01061465A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003560A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71002399A) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2019-04-18 |