| NPI | 1346518958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHRISTOPHER RULEY Owner 317-862-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01060955A) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |