| NPI | 1154683472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN LANGLEY ROBERTS Member/M.D. 765-760-2840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01067670A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01067670A) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |