| NPI | 1740352947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L CECIL Office Manager 317-573-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-07-21 |