NPI | 1548400070 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL THOMAS HOGAN President 317-621-7409 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 080041741) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2024-10-30 |