| NPI | 1225643992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R BENSON Interim CEO/Medical Director 317-580-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207X00000X Orthopaedic Surgery | |
| 363LF0000X Nurse Practitioner, Family | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2022-05-23 |