NPI | 1942290143 |
---|---|
Former Legal Business Name | OBSTETRICS & GYNECOLOGY OF INDIANA, P.C. |
Entity Type | Organization |
Authorized Contact | RICHARD W. GATES Manager 317-415-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 50003837A) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2020-02-04 |