| NPI | 1962507285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J RYDER Office Manager 765-298-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01042569A) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-02-01 |