| NPI | 1427162692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President And CEO 317-580-6307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2017-06-22 |