NPI | 1538101738 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN H. PARK President And CEO 317-580-6307 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207RH0003X Internal Medicine, Hematology & Oncology | |
207V00000X Obstetrics & Gynecology | |
2085N0904X Radiology, Nuclear Radiology | |
2085R0202X Radiology, Diagnostic Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2008-01-09 |