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 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2020-08-22 |