| NPI | 1376935247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT T GUENTHNER CEO 317-837-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005371A) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |