| NPI | 1932981313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA VOGT Billing Manager 317-836-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-02-29 |