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 |