| NPI | 1932391190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LINSLEY Insurance & Billing 317-462-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01022756) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-05-30 |