Organization
INTERNATIONAL MEDICAL SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSUE J VILLALTA MD (PRESIDENT)
(317) 489-3265
Entity
Organization
Contact information
Practice address
6925 E 96TH ST STE 200, INDIANAPOLIS, IN 46250-3654
(317) 489-3265
(317) 489-3714
Mailing address
6925 E 96TH ST STE 200, INDIANAPOLIS, IN 46250-3654
(317) 489-3265
(317) 489-3714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
04/04/2025
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