| NPI | 1235455544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LUTHER COO 317-948-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207L00000X Anesthesiology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| 208VP0000X | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2019-05-15 |