| NPI | 1639273014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President And CEO 317-580-6307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-01-09 |