Organization
MIDWEST SPECIALTY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
6920 GATWICK DR., SUITE 100, INDIANAPOLIS, IN 46241-9506
(317) 821-0000
(317) 821-0965
Mailing address
14201 DALLAS PKWY, DALLAS, TX 75254-2916
(317) 821-0000
(317) 821-0965
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
07/08/2012
Last updated
12/04/2024
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