| NPI | 1578085296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD NEWSOM Chief Operating Officer 812-280-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-05-22 |