# BEN ANDERSON PA-C SURGICAL ASSIST LLC

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

## Provider details

- **NPI number:** 1184505133
- **Authorized official:** BENJAMIN ANDERSON PA-C (PHYSICIAN ASSOCIATE/SURGICAL ASSIST)
- **Authorized official phone:** (703) 424-8073

## Contact information

- **Practice address:** 1532 CENTRAL AVE, INDIANAPOLIS, IN 46202-2607
- **Practice address phone:** (703) 424-8073
- **Mailing address:** 1532 CENTRAL AVE, INDIANAPOLIS, IN 46202-2607
- **Mailing address phone:** (703) 424-8073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 09/08/2025