| NPI | 1265851935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A ANZALDUA President 317-660-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 207RN0300X Internal Medicine, Nephrology | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-12-11 |