Organization
OCULOFACIAL PLASTIC AND ORBITAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM R NUNERY MD (PRESIDENT)
(317) 573-1000
Entity
Organization
Contact information
Practice address
201 PENNSYLVANIA PKWY, SUITE 225, INDIANAPOLIS, IN 46280-2301
(317) 573-1000
(317) 573-0205
Mailing address
201 PENNSYLVANIA PKWY, SUITE 225, INDIANAPOLIS, IN 46280-2301
(317) 573-1000
(317) 573-0205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01026942A
IN
Other
Enumeration date
10/03/2006
Last updated
05/12/2016
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