| NPI | 1518733021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SMITSON Owner 317-432-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |