| NPI | 1427138817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K FREDERICK President 317-872-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 50000925A) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-09-26 |