| NPI | 1922477686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BLANTON Executive Director 812-424-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 363A00000X Physician Assistant | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2023-08-31 |