Organization
EAST CAMPUS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WALTON (EXECUTIVE DIRECTOR)
(317) 355-7000
Entity
Organization
Contact information
Practice address
5445 E 16TH ST, INDIANAPOLIS, IN 46218-4869
(317) 355-7000
(317) 351-2428
Mailing address
5445 E 16TH ST, INDIANAPOLIS, IN 46218-4869
(317) 355-7000
(317) 351-2428
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
080108171
IN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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