| NPI | 1710470265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA STEWART Owner 765-271-5913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080T0002X Pediatrics, Medical Toxicology (Licence: IN 01060986) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2024-08-27 |