NPI | 1629842240 |
---|---|
Doing Business As | PROACTIVE MD |
Entity Type | Organization |
Authorized Contact | JODY ADDAIR Clinical Ops Project Coordinator 317-556-0017 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-11-14 |
Last Update Date | 2024-11-22 |