| NPI | 1710185319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN RICHARDSON President 812-634-7726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01047337A) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2008-04-19 |