| NPI | 1407861164 |
|---|---|
| Doing Business As | SANDCREST FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAVID J PORTER Medical Director 812-373-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 207Q00000X) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-01-27 |