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Organization
INDIANA ENDOSCOPY CENTERS LLC
Active
Organization
INDIANA ENDOSCOPY CENTERS LLC
Active
Other names
Indiana Endoscopy Center West
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BOEGLIN (PRESIDENT)
(317) 817-1456
Entity
Organization
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 347, AVON, IN 46123-6914
(317) 217-2111
Mailing address
1115 RONALD REAGAN PKWY STE 347, AVON, IN 46123-6914
(317) 217-2111
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/09/2008
Last updated
05/05/2008
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