| NPI | 1528387412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLO M MENDOZA Doctor 812-446-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01049692) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01049698) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2015-07-10 |