| NPI | 1558082495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SUMNERS Director 317-696-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |