| NPI | 1336180173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ETCHISON Director, Asc Clinical Operations 317-817-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 060022771) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-01-21 |