| NPI | 1376799213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| 208800000X Urology | |
| 2088P0231X Urology, Pediatric Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-07-11 |