| NPI | 1912387234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROSE MCVEY CEO 317-378-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |