| NPI | 1376722942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P. FLANNAGAN Owner 812-477-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |