| NPI | 1821006545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R BRAZLEY Physician/Owner 219-769-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01032396) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-09 |