| NPI | 1780610089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN H PARK President And CEO 317-580-6307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-01-22 |