| NPI | 1285841502 |
|---|---|
| Doing Business As | DECATUR VEIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS M WHITTEN Owner/Medical Director 317-218-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-01-08 |