NPI | 1962586198 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL P FOUTY CFO/Authorized Representative 812-232-0564 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology |
207RH0003X Internal Medicine, Hematology & Oncology | |
207RS0010X Internal Medicine, Sports Medicine | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2008-04-20 |