NPI | 1336577733 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW A JOHNSTONE Sole Owner 317-300-0370 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01035232A) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2014-03-03 |