| NPI | 1457743361 |
|---|---|
| Doing Business As | HOOSIER PARK |
| Entity Type | Organization |
| Authorized Contact | JEFFERY L KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |