| 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 |