| NPI | 1477673838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MANDABACH Business Office Manager 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 06-003032-1) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-04-11 |