NPI | 1447445317 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE STROUSE Owner/President 812-944-2275 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 001035535) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2007-09-13 |