| NPI | 1912923285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY R HUNEFELD Owner Medical Director 812-752-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-04-04 |