| NPI | 1104906734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ORRIS M.D. / Owner 317-859-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-03-17 |