NPI | 1871974337 |
---|---|
Doing Business As | BODYLOGICMD OF CARMEL |
Entity Type | Organization |
Authorized Contact | LYNNOVA REYNOLDS President 765-318-3265 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: IN 02001906A) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2015-06-10 |