| NPI | 1548508815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M DESROSIERS Physician 317-370-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center Oncology, Radiation (Licence: IN 01047188) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2015-04-02 |