| NPI | 1801939749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD A BACON President 812-897-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |