| NPI | 1770926453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN RIDENOUR Asst Manager 317-920-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IN 02001032A) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |