| NPI | 1740734201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E. RIZZUTO Chief Operating Officer 317-415-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2022-11-11 |