| NPI | 1962537415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S. MOORE Office Manager 812-425-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01033267) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |