| NPI | 1699321307 |
|---|---|
| Doing Business As | INDYVITAL |
| Entity Type | Organization |
| Authorized Contact | CRISTOVAO F VIEIRA Owner 317-680-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2019-08-18 |