| NPI | 1861657256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOEGLIN President 317-962-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 08-006221-1) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2011-01-03 |