NPI | 1285929349 |
---|---|
Doing Business As | AVON NEUROLOGY |
Entity Type | Organization |
Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2011-06-16 |
Last Update Date | 2024-06-12 |