| NPI | 1952325409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M STIVERS Sr Vice President, CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-10-19 |