Organization
WOMEN'S PHYSICIAN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KELLER (EXECUTIVE DIRECTOR)
(317) 228-1100
Entity
Organization
Contact information
Practice address
8081 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2087
(317) 228-1100
Mailing address
PO BOX 2303, DEPT. #175, 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
—
NEVER ISSUED
—
IN
Enumeration date
06/01/2006
Last updated
03/29/2011
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