| NPI | 1033167499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN A WALTER Administrator 317-962-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 050037961) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-09-23 |