| NPI | 1932980836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BIRDSONG Owner/Employee 317-997-6611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-17 |