Organization
GENERAL AND ADVANCED LAPAROSCOPIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A REX D.O. (SOLE PROPRIETOR)
(317) 682-2038
Entity
Organization
Contact information
Practice address
3520 GUION RD, SUITE 103, INDIANAPOLIS, IN 46222-1692
(317) 682-2038
(317) 920-7482
Mailing address
3520 GUION RD, SUITE 103, INDIANAPOLIS, IN 46222-1692
(317) 682-2038
(317) 920-7482
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02003334A
IN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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