Organization
GREENWOOD ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W JACKSON MD (AUTHORIZED OFFICIAL)
(317) 497-6497
Entity
Organization
Contact information
Practice address
3000 S STATE ROAD 135, SUITE 210, GREENWOOD, IN 46143-9607
(317) 497-6497
(317) 497-6400
Mailing address
3000 S STATE ROAD 135, SUITE 210, GREENWOOD, IN 46143-9607
(317) 497-6497
(317) 497-6400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
08/12/2013
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