| NPI | 1679900666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BROOKE ROBEY President 317-721-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01072094A) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IN 01072094A) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2020-09-27 |