# TOWER SPECIALTY SURGERY L.L.C.

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

## Provider details

- **NPI number:** 1689751976
- **Authorized official:** DR. CARL WILLIAM WOOLDRIDGE D.O. (PRESIDENT/OWNER)
- **Authorized official phone:** (765) 962-5574

## Contact information

- **Practice address:** 1400 HIGHLAND RD, SUITE \# 2, RICHMOND, IN 47374-9239
- **Practice address phone:** (765) 973-8085
- **Practice address fax:** (765) 973-8076
- **Mailing address:** 1400 HIGHLAND RD, SUITE \# 2, RICHMOND, IN 47374-9239
- **Mailing address phone:** (765) 973-8085
- **Mailing address fax:** (765) 973-8076

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020