| NPI | 1447515176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT L SPENCER Direct Owner 765-376-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01040702A) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |