NPI | 1235787425 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-08-30 |
Last Update Date | 2019-08-30 |