| NPI | 1487851945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBBY STEELE Office Manager 765-966-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 50000554a) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2016-11-17 |