| NPI | 1992860159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RUTHERFORD Credentialing Coordinator 317-837-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-11-06 |