| NPI | 1780146076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD S SHANKS Neurological Surgeon 812-981-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2020-06-23 |