Organization
PEDIATRIC SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A WILLIAMS (CFO)
(317) 948-3525
Entity
Organization
Contact information
Practice address
705 RILEY HOSPITAL DR STE 2500, INDIANAPOLIS, IN 46202-5109
(317) 274-4681
(317) 274-4491
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349840
—
IN
Enumeration date
09/13/2006
Last updated
07/26/2024
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