| NPI | 1548707425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIN MCMANAWAY Office Manager 812-303-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01061287A) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-12-18 |