| NPI | 1972576262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIMO A ANDRES CEO/Physician 812-238-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: IN 50002041A) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-01-28 |