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 |