NPI | 1457515488 |
---|---|
Doing Business As | JANE PARDIECK MD LLC |
Entity Type | Organization |
Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01031102A) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2011-01-05 |