| NPI | 1427050046 |
|---|---|
| Doing Business As | DECATUR VEIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID R DECATUR CEO 317-218-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |