| NPI | 1841432374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S SLATTON President / Physician 317-526-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01049794A) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2020-10-13 |