| NPI | 1518209782 |
|---|---|
| Other Name | OURCLINIC @ THE TOWER |
| Entity Type | Organization |
| Authorized Contact | JEFFREY M WELLS President 317-989-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-03-19 |