NPI | 1659406692 |
---|---|
Former Legal Business Name | DRS IRELAND & STACK PC |
Entity Type | Organization |
Authorized Contact | JANICE K BOLES Administrator 317-816-5614 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IN 01025374A) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |