Organization
AVON MARKETPLACE ASC, LLC
Active
Other names
West Indy Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCHAEFER JON (CHIEF EXECUTIVE OFFICER)
(317) 201-1038
Entity
Organization
Contact information
Practice address
156 AVON MARKET PL, AVON, IN 46123-6019
(317) 983-4103
Mailing address
PO BOX 308, ZIONSVILLE, IN 46077-0308
(317) 983-4103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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