NPI | 1831110170 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART H COLEMAN Medical Director 812-945-0145 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 060028691) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2009-07-24 |