| NPI | 1578297123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEAN DYE Practice Manager 317-696-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-03-15 |