| NPI | 1194742551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK CANTRELL CFO 317-396-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-12-29 |