Organization
SURGICAL ASSOCIATES OF INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY-ANN PULLEY (PRACTICE MANAGER)
(317) 682-2038
Entity
Organization
Contact information
Practice address
9660 E 146TH ST STE 100, NOBLESVILLE, IN 46060-3097
(317) 773-6677
(317) 773-3322
Mailing address
6350 RUCKER RD, SUITE 103, INDIANAPOLIS, IN 46220-4874
(317) 682-2038
(317) 920-7482
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540630A
—
IN
Enumeration date
09/15/2006
Last updated
01/09/2023
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