| NPI | 1477513844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL GENE NORRIS Owner CEO 812-634-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 060025231) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2012-01-13 |