| NPI | 1336315563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ADAM ANDRES Resident Physician 317-345-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IN 11012731a) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |