| NPI | 1376329060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA SPIVEY Central Support Specialist 317-869-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2025-07-16 |