| NPI | 1831270164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W MOORE Executive Vice President 765-646-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-12-31 |