| 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 Radiology, Nuclear Radiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2011-02-15 |