NPI | 1124050315 |
---|---|
Doing Business As | IMPACT CENTER OF MOORESVILLE |
Entity Type | Organization |
Authorized Contact | JOHN L MURPHY CEO 317-781-3604 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-09-18 |