NPI | 1205885316 |
---|---|
Entity Type | Organization |
Authorized Contact | JON D. FRAZIER Owner 812-474-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
207RX0202X Internal Medicine, Medical Oncology | |
103TC0700X Psychologist, Clinical | |
2085R0202X Radiology, Diagnostic Radiology | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2012-02-21 |