NPI | 1215431846 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL A WATHEN Secretary/Treasurer 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
207RI0011X Internal Medicine, Interventional Cardiology | |
2086S0129X Surgery, Vascular Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-05-15 |