| NPI | 1639569171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ALLEN FRICK Owner 765-651-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 02001087A) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |