NPI | 1265767909 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA YEARSLEY Owner 812-482-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01042841A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01042841A) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2023-03-07 |