| NPI | 1902986623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D RATTS Medical Director 812-332-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01020171B) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |