| NPI | 1336342823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOHN STOUT Owner 317-848-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 50002705A) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2010-07-08 |