Organization
ADVANCED SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIONG O POUW MD (OWNER)
(317) 392-0222
Entity
Organization
Contact information
Practice address
30 W RAMPART ST, STE 230, SHELBYVILLE, IN 46176-8846
(317) 392-0222
(317) 392-0722
Mailing address
PO BOX 627, SHELBYVILLE, IN 46176-0627
(317) 392-0222
(317) 392-0722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
03/30/2011
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