| NPI | 1669401543 |
|---|---|
| Doing Business As | MADISON AVENUE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN L MURPHY CEO 317-781-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |