NPI | 1154857548 |
---|---|
Entity Type | Organization |
Authorized Contact | STANLEY JOSEPH HARPER Md/President/Owner 317-399-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01068593A) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2017-05-04 |