| NPI | 1568629178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA D WAIT Surgery Resident 317-402-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: IN 11012602A) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |