| NPI | 1346290566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORA SADDORIS President 812-376-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2021-04-05 |