Indiana Specialty Surgery Center, LLC
NPI #1174777817 in Bloomington, Indiana
Provider Information
- NPI Number
- 1174777817
- Entity Type
- Organization
- Organization Name
- Indiana Specialty Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 7, 2008
- Last Updated
- Nov 7, 2008
Practice Location
- Address
- 1380 W ARCH HAVEN AVE
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2055
- Phone
- (812) 330-1164
Authorized Official
- Name
- DR. GREGORY M FOX, M.D.
- Title
- CEO
- Phone
- (812) 333-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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