Organization
NORTHSIDE SURGICAL SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL HAMMOND MD (OWNER)
(317) 875-0112
Entity
Organization
Contact information
Practice address
8424 NAAB RD, SUITE #2F, INDIANAPOLIS, IN 46260-5918
(317) 875-0112
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-3112
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100441520
—
IN
Enumeration date
08/25/2006
Last updated
07/25/2008
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