| NPI | 1407008964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN BERGSTEIN Pediatrician 317-844-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01042405A) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |