| NPI | 1205885316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON D. FRAZIER Owner 812-474-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| 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 |