| NPI | 1629250618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA STRONG Office Manager 765-742-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |