| NPI | 1477923696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG J. GORMLEY Medical Director 812-867-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174M00000X Veterinarian (Licence: IN 24003755) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |