Organization
INDIANA ORTHOPAEDIC CENTER
Active
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
150 W WASHINGTON ST, SHELBYVILLE, IN 46176-1236
(317) 588-2663
(317) 588-2727
Mailing address
7930 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(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
01
—
897960
MEDICARE PROVIDER #
IN
Enumeration date
06/16/2008
Last updated
06/16/2008
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