Organization
TOWER SURGICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY T. MICON M.D. (PRESIDENT)
(317) 923-7211
Entity
Organization
Contact information
Practice address
1801 N. SENATE BLVD., SUITE 635, INDIANAPOLIS, IN 46202-1228
(317) 923-7211
(317) 924-9682
Mailing address
1801 SENATE BLVD, SUITE 635, INDIANAPOLIS, IN 46202-1228
(317) 923-7211
(317) 924-9682
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200014350
—
IN
Enumeration date
03/29/2007
Last updated
09/18/2012
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