| NPI | 1629406111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA OBASEKI Practice Manager 812-254-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 71000903) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |