Organization
INDIANA XPRESS ORTHO CARE, LLC
Active
Parent organization
XPRESS ORTHO CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
XPRESS ORTHO CARE, LLC
Authorized official
SHELLY PORTER (DIRECTOR)
(443) 255-3670
Entity
Organization
Contact information
Practice address
875 JOLIET ST, DYER, IN 46311-1920
(219) 440-1006
(219) 627-9802
Mailing address
875 JOLIET ST, DYER, IN 46311-1920
(219) 440-1006
(219) 627-9802
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
11/11/2016
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