| NPI | 1861672529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS RONALD ADAMSON Sole Member 765-346-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048882) |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2009-01-09 |