NPI | 1437176468 |
---|---|
Doing Business As | OLIO ROAD FAMILY CARE |
Entity Type | Organization |
Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-07-16 |
Last Update Date | 2009-11-30 |