| NPI | 1518004050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SMALL Medical Dir President Medical Staff 317-736-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 070030731) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |