| NPI | 1801986880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CARDONE Billing Manager 317-872-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-11-17 |