NPI | 1477542165 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY BLANTON Practice Administrator 812-424-9291 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207XS0106X Orthopaedic Surgery, Hand Surgery | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
208100000X Physical Medicine & Rehabilitation | |
2082S0105X Plastic Surgery, Surgery of the Hand | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
335E00000X Prosthetic/Orthotic Supplier | |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2005-10-17 |
Last Update Date | 2024-11-05 |