| NPI | 1144314097 |
|---|---|
| Doing Business As | INDY SOUTHSIDE SURGICAL |
| Entity Type | Organization |
| Authorized Contact | DENA L PETTY Manager 317-865-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |