NPI | 1457767097 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY HUGHES Billing Manager 812-238-7904 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11017636A) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |