| NPI | 1427482074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN B HURST Owner 812-630-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01042311) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |