NPI | 1235323601 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES E MONEYHUN Family Doctor 765-643-6669 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01018373) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |