| NPI | 1356438709 |
|---|---|
| Doing Business As | ORTHOPEDICS & SPORTS MEDICINE OF INDIANA |
| Entity Type | Organization |
| Authorized Contact | HEATHER RUTHERFORD Credentialing COO Rdinator 317-837-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine Sports Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2024-05-29 |