| NPI | 1336478890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDEE L MILLER Nurse Practitioner/Owner 317-608-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IN 71001160B) |
| Enumeration Date | 2009-12-12 |
| Last Update Date | 2009-12-12 |