NPI | 1497273494 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMAN WILLIAMS President/CEO 317-698-7274 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2017-08-30 |
Last Update Date | 2018-08-24 |