| NPI | 1184601098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDLER SHIRER Administrator 317-528-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 05-003217-1) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-06-25 |