| NPI | 1942410220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT CHARLES MILLER President 317-575-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |