| NPI | 1427448729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY L REISING Director/Founder 317-306-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01074227A) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-08-29 |