NPI | 1003357377 |
---|---|
Doing Business As | AZURA SURGERY CENTER MICHIANA VASCULAR |
Entity Type | Organization |
Authorized Contact | JAMES L. PORILE Authorized Official 574-273-6787 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2017-03-20 |
Last Update Date | 2025-08-13 |