| NPI | 1932341922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY L BLANTON Administrator 812-424-9291 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2023-08-31 |