| NPI | 1710051925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES WARFIELD Practice Administrator 317-355-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2010-07-29 |