| NPI | 1205041340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A SHAY Owner 317-846-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IN 01039661) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-01-04 |