| NPI | 1790843829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASTI BROADSTONE Physician 812-949-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-03-11 |