NPI | 1225715832 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN Secretary Treasurer 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363A00000X Physician Assistant | |
Enumeration Date | 2023-07-05 |
Last Update Date | 2023-07-05 |