| NPI | 1760676324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY MILES Office Manager 812-885-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01043100A) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2010-03-30 |