| NPI | 1659519684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WALKE Executive Director 317-887-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 090053961) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2019-07-30 |