| NPI | 1306947189 |
|---|---|
| Doing Business As | AVON INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-06-12 |