| NPI | 1366647265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BEESON Medical Director 317-826-1028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 008914) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2011-01-28 |