| NPI | 1144912247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DAVID DONADIO Vice President Of Operations 317-845-5974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-31 |