| NPI | 1710160387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY C SHARP Owner/Physician 317-462-4233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01025164) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2011-03-04 |