NPI | 1831459726 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN D FRANK Owner 765-641-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IN 01047098A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08000911A) |
111N00000X Chiropractor (Licence: IN 08001914A) | |
363A00000X Physician Assistant (Licence: IN 10000549A) | |
Enumeration Date | 2012-05-24 |
Last Update Date | 2014-03-05 |