| NPI | 1831236272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R BENSON Interim CEO/Medical Director 317-580-6304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 207Q00000X Family Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 225100000X Physical Therapist | |
| 207X00000X Orthopaedic Surgery | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-05-27 |