| NPI | 1205916830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G ORRIS M.D./ Owner 317-859-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-03-17 |