| NPI | 1417845090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON SCHAEFER Chief Operating Officer 317-201-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |