NPI | 1265773170 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH M KUNZER Owner 317-842-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 111N00000X Chiropractor |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-03-04 |
Last Update Date | 2013-09-08 |