NPI | 1033426580 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE STRAW Billing 812-758-4034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 1055762a) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-09-04 |
Last Update Date | 2016-04-22 |