NPI | 1396901104 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRK WILLIAM STRACK CFO 812-283-2488 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
207V00000X Obstetrics & Gynecology | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
363LW0102X Nurse Practitioner, Women's Health | |
363A00000X Physician Assistant | |
363LP0200X Nurse Practitioner, Pediatrics | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2008-07-31 |
Last Update Date | 2013-03-25 |