| NPI | 1225485899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G ORRIS M.D./ Partner 317-859-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2021-03-17 |