NPI | 1962886341 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY JAVORKA COO 317-621-1591 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 213E00000X Podiatrist |
213ES0000X Podiatrist, Sports Medicine | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2016-05-17 |