| NPI | 1487229514 |
|---|---|
| Other Name | MARATHON HEALTH @ S. JONES BOULEVARD |
| Entity Type | Organization |
| Authorized Contact | TERRY LAYMAN President 317-522-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |