| NPI | 1548743552 |
|---|---|
| Other Name | PROACTIVE MD |
| Entity Type | Organization |
| Authorized Contact | JAN HOPKINS Assoc. Ops Mgr 317-593-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2022-03-25 |