| NPI | 1164391181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY BLANTON CEO 812-424-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 207X00000X Orthopaedic Surgery | |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2025-10-30 |
| Last Update Date | 2025-11-04 |