| NPI | 1255409413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY H WRIGHT Officer 317-814-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 213E00000X Podiatrist | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-10-23 |