Organization
INDIANA SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE C INMAN M. D. (PRESIDENT/OWNER)
(317) 272-8272
Entity
Organization
Contact information
Practice address
8244 E US HIGHWAY 36, SUITE 1210, AVON, IN 46123-9575
(317) 272-8272
(317) 272-7507
Mailing address
8244 E US HIGHWAY 36, SUITE 1210, AVON, IN 46123-9575
(317) 272-8272
(317) 272-7507
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01036203
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000174639
ANTHEM
—
01
—
0004197827
AETNA
—
01
—
161180
MEDICARE
—
Enumeration date
09/24/2007
Last updated
09/24/2007
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