| NPI | 1679916001 |
|---|---|
| Doing Business As | IMCN |
| Entity Type | Organization |
| Authorized Contact | BRYANT KING Owner 317-757-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01061402A) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-11-06 |