| NPI | 1841340619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES VAUGHN Owner 812-945-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 08001950a) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-08-26 |