| NPI | 1407404940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE HOLMAN CEO 812-238-7606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-07-20 |