| NPI | 1821844895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELVIN WILMOT Cmo 317-408-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |