| NPI | 1154774412 |
|---|---|
| Doing Business As | MPI HEALTH CONNECTIONS ELLIS |
| Entity Type | Organization |
| Authorized Contact | BEN PARK President Of Ahn 317-580-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01065108A) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |