| NPI | 1487680518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G ORRIS M.D./ Owner 317-859-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 261Q00000X Clinic/Center | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-03-17 |