| 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 | 103TC0700X Psychologist Clinical |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RX0202X Internal Medicine Medical Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2012-02-21 |