| NPI | 1902850837 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BEN H PARK President And CEO 317-580-6309  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085N0904X | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-05-22 | 
| Last Update Date | 2011-02-15 |