NPI | 1437707601 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL F HAWA Co Owner 812-431-7773 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2022-03-03 |