| NPI | 1841763380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN Secretary / Treasurer 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |