NPI | 1528459278 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY HALLAL HENDERSON Physician 812-948-1641 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IN 01052944A) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2015-02-16 |