| NPI | 1881646263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWSON Director Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IN 208600000X) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-07-18 |