NPI | 1922477686 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY BLANTON CEO 812-424-9291 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
208100000X Physical Medicine & Rehabilitation | |
2082S0105X Plastic Surgery, Surgery of the Hand | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2015-09-23 |
Last Update Date | 2024-11-05 |