| NPI | 1508101213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEWART President 317-356-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2013-02-17 |