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 Pain Medicine, Pain Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2010-04-12 |
Last Update Date | 2019-05-15 |