| NPI | 1518114032 |
|---|---|
| Doing Business As | BROADWAY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2009-11-02 |