| NPI | 1912971326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BRUCE HOPEN Medical Director 317-841-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-07-20 |