| NPI | 1225913403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE FORD Medical Director 317-463-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |