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Organization

NAAB ROAD SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN KELLER (CEO)
(317) 802-3700
Entity
Organization

Contact information

Practice address
8260 NAAB RD, SUITE #100, INDIANAPOLIS, IN 46260-8901
(317) 802-3700
Mailing address
PO BOX 2303, DEPT 177, INDIANAPOLIS, IN 46206-2303
(317) 802-3127
(317) 870-0499

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200186370
IN
05
200186370A
IN
Enumeration date
05/31/2006
Last updated
03/28/2011
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