| NPI | 1598986713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE C FLETCHER Owner 812-948-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01046080A) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 29686) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01046080A) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 29686) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-10-21 |