| NPI | 1366762718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE STEVEN SIDERYS President 317-253-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IN 01034522) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |