| NPI | 1912305756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G. ORRIS M.D./Owner 317-859-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2021-03-17 |