| NPI | 1447446992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRADLEY RAY President 812-330-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 04046774A) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2015-11-09 |