Organization
SCP INDIANAPOLIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HOGAN (PRESIDENT)
(317) 621-9366
Entity
Organization
Contact information
Practice address
7430 N SHADELAND AVE STE 100, INDIANAPOLIS, IN 46250-2036
(317) 621-6255
Mailing address
7430 N SHADELAND AVE STE 100, INDIANAPOLIS, IN 46250-2036
(317) 621-6255
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
03/05/2020
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