| NPI | 1669708756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIN MCMANAWAY Office Manager 812-402-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01061287A) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2017-04-28 |