| NPI | 1992411292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON J SPOLJORIC Owner / Partner 317-250-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |