Organization
INDIANA ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA C SANFORD (BILLING MANAGER)
(317) 863-2180
Entity
Organization
Contact information
Practice address
1400 N RITTER AVE, SUITE 351, INDIANAPOLIS, IN 46219
(317) 588-2663
(317) 355-1179
Mailing address
7950 N SHADELAND, INDIANAPOLIS, IN 46250
(317) 588-2663
(317) 588-2727
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10056260
—
IN
Enumeration date
12/19/2006
Last updated
08/22/2020
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