| NPI | 1316550445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN W. VANATOR CFO 317-963-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-11-13 |