| NPI | 1760598049 |
|---|---|
| Doing Business As | FIRST CAPITAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD DUVAL CFO 812-738-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-11-30 |