| NPI | 1659355451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOY MCINTIRE Physician 317-217-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01049242) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01038641) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |