NPI | 1093881385 |
---|---|
Doing Business As | DECATUR VEIN CLINIC |
Entity Type | Organization |
Authorized Contact | DAVID R DECATUR CEO 317-218-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2006-11-28 |
Last Update Date | 2020-08-22 |