| NPI | 1457985137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CALVERT CEO 317-501-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-10-04 |