NPI | 1700907250 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM PFISTER CEO 812-772-5530 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IL 0001636) |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-12-09 |