| NPI | 1881276004 |
|---|---|
| Other Name | FISHERS NEAR SITE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM Authorized Official 317-355-5822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |