| NPI | 1538256003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ROCHELLE WHEELER Office Manager 812-524-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01049004) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |