| 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 |