Organization
GRACE SURGICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WHITTEN MD (OWNER)
(317) 218-2813
Entity
Organization
Contact information
Practice address
355 WESTFIELD RD, SUITE 120, NOBLESVILLE, IN 46060-1443
(317) 770-5842
(317) 770-2198
Mailing address
8925 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46260-2386
(317) 218-2813
(800) 985-1194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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