NPI | 1316320799 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5566 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
Enumeration Date | 2015-07-03 |
Last Update Date | 2025-05-12 |