NPI | 1386150043 |
---|---|
Doing Business As | BRENGLE FAMILLY MEDICINE |
Entity Type | Organization |
Authorized Contact | LORI SCOTT-SOLAZZO Practice Manager 317-252-1219 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01043339A) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2017-12-18 |