NPI | 1265209456 |
---|---|
Doing Business As | ORTHOALLIANCE OF INDIANA |
Entity Type | Organization |
Authorized Contact | VICTOR MORAN CEO 765-284-7738 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2023-12-07 |
Last Update Date | 2024-07-23 |