NPI | 1578129508 |
---|---|
Other Name | FISHER'S ONSITE PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | JEFFERY KIRKHAM CFO 317-497-6169 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-05-15 |
Last Update Date | 2019-05-15 |