NPI | 1518085661 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE ROBERTSON Practice Manager 812-933-1858 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01052054A) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2015-06-29 |