NPI | 1336625706 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD BOBAY Tin Owner 812-725-7810 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2018-07-18 |
Last Update Date | 2024-11-05 |