| NPI | 1538464227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARLTON SHEPHERD Physician 317-253-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 02003266A) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |