NPI | 1396773461 |
---|---|
Other Name | ANDERSON FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | D BRUCE HAGA Vice President 317-583-3087 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
103T00000X Psychologist | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-12-03 |