| NPI | 1104246412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES OLIVER HARTSON Physician Owner 219-575-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01051992A) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |