| NPI | 1083615801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY D SWANSON President 812-537-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01037561) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35-05-3520-S) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2009-08-01 |