| NPI | 1629831714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EGGERS Owner 812-758-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2025-01-28 |