NPI | 1700393741 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE RAE BEMENT Executive Assistant 317-735-1851 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IN 01036126A) |
Enumeration Date | 2017-12-29 |
Last Update Date | 2017-12-29 |