| NPI | 1508069543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MORANCEY Office Manager 812-882-2703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02000873) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2009-07-01 |