| NPI | 1255579942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSE L COLE President 317-925-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2025-09-16 |