NPI | 1184855272 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY W RATLIF President 812-331-3400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: IN 01066805A) |
Enumeration Date | 2009-08-06 |
Last Update Date | 2010-01-14 |