| NPI | 1780653535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L PATTERSON Physician/CEO 317-621-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: IN 50004268A) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-07-19 |