# INSTITUTE FOR REJUVENATION MEDICINE AND SURGERY,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023491644
- **Authorized official:** WILLIAM BEESON MD (CEO)
- **Authorized official phone:** (317) 846-0846

## Contact information

- **Practice address:** 3933 KITTY HAWK CT, CARMEL, IN 46033-4801
- **Practice address phone:** (317) 846-0846
- **Mailing address:** 10500 CROSSPOINT BLVD, INDIANAPOLIS, IN 46256-3331
- **Mailing address phone:** (317) 846-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 06/30/2015