| NPI | 1083836332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRADLEY THURSTON President 317-872-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-29 |