| NPI | 1841670734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY CAMPBELL Owner 812-288-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363LF0000X Nurse Practitioner, Family | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-07-19 |