| NPI | 1790416543 |
|---|---|
| Other Name | MAR-JAC POULTRY FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRY L LAYMAN Sr Vice President Corporate Medical 317-522-0844 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-07-08 |