NPI | 1891782983 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE HOAGLAND President 812-422-3254 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care |
Enumeration Date | 2005-10-04 |
Last Update Date | 2024-07-09 |