| NPI | 1669636064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE K HAYES Billing Clerk 765-446-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01034719A) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-11-18 |