Provider First Line Business Practice Location Address:
545 BARNHILL DR EH 5TH FLOOR
Provider Second Line Business Practice Location Address:
UNIVERSITY SURGEONS INC
Provider Business Practice Location Address City Name:
INDPLS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-5125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-274-4122
Provider Business Practice Location Address Fax Number:
317-274-0241
Provider Enumeration Date:
05/16/2006