| NPI | 1821015850 |
|---|---|
| Doing Business As | NORTHSIDE FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-12-17 |