| NPI | 1801002852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JANE ANDERSON President 317-247-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02000810) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |