| NPI | 1679598171 |
|---|---|
| Doing Business As | FALL CREEK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-09-16 |