| NPI | 1124072137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FULLER President 812-537-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-08-28 |