Provider First Line Business Practice Location Address:
550 N. UNIVERSITY BLVD, SUITE 4100
Provider Second Line Business Practice Location Address:
INDIANA UNIVERSITY HOSPITAL
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-312-2160
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/01/2013