| NPI | 1750306338 |
|---|---|
| Doing Business As | COMMUNITY OB GYN |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-08-25 |