| NPI | 1972555357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 207L00000X) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 207LP2900X) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-10-24 |