NPI | 1427081090 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL E. BRODERICK President 765-342-3686 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IN 50003439A) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2010-11-11 |