NPI | 1922828904 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH EDWARD RIZZUTO Chief Operating Officer 317-338-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-10-14 |
Last Update Date | 2024-10-30 |