| NPI | 1457608705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES PRAHTER President 317-848-8048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01025462A) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |