NPI | 1457607046 |
---|---|
Doing Business As | STROUD MEDICAL |
Entity Type | Organization |
Authorized Contact | G REX STROUD Owner 812-254-4399 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01057059A) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health (Licence: IN 01057059A) |
Enumeration Date | 2012-08-01 |
Last Update Date | 2019-01-04 |