| NPI | 1326318486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY H MERCHO Doctor 317-357-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IN 01046737) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |