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 |