| NPI | 1437942794 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | COLLEEN MICHELLE OVERDORF Owner/Authorized Official 317-409-0414  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease | 
| Enumeration Date | 2025-05-28 | 
| Last Update Date | 2025-05-28 |