| NPI | 1942627047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTE PURTEE Asst Office Manager 317-300-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01037735A) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |