NPI | 1043279813 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D. WALLER Vice President/Secretary 812-301-8110 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 50002315A) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2019-04-15 |