NPI | 1720097322 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM E COOKE Director/Officer 812-794-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IN 01056407A) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2013-07-01 |