| NPI | 1790843852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD R YARNELL Owner 317-786-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01022396A) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01022396A) |
| 207Q00000X Family Medicine (Licence: IN 01022396A) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |