| NPI | 1245620871 |
|---|---|
| Doing Business As | ADVANTIA HEALTH INDIAN CREEK ASC |
| Entity Type | Organization |
| Authorized Contact | PETER GLASS Chief Medical Officer 240-560-5092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2017-06-28 |