| NPI | 1629269345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS OLIVER BOW Authorized Signer 765-730-0157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001195A) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-10-01 |