| NPI | 1265710156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRICK P HUBBARD Doctor/President 317-708-2839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28168864A) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |