| NPI | 1396181301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C STEVENS Neurologist 260-436-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IN 01033527A) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |