| NPI | 1225296734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA DANIELLE FAJARDO Surgery Resident 317-312-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 11012602A) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IN 11012062A) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-12-22 |