| NPI | 1548762719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL MELDRUM Owner/Physician 317-371-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 51549) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |