| NPI | 1821247479 |
|---|---|
| Doing Business As | COMMUNITY PEDIATRIC NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |