Organization
AESTHETIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BEESON (MEDICAL DIRECTOR)
(317) 826-1028
Entity
Organization
Contact information
Practice address
13590 N MERIDIAN ST, CARMEL, IN 46032-1456
(317) 846-1028
Mailing address
13590 N MERIDIAN ST, CARMEL, IN 46032-1456
(317) 846-1028
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008914
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008914
LICENSE NUMBER
IN
Enumeration date
06/19/2007
Last updated
01/28/2011
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