Organization
ADVANCED SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BRUCE HOPEN (MEDICAL DIRECTOR)
(317) 841-2020
Entity
Organization
Contact information
Practice address
1400 TEAL RD, SUITE 7, LAFAYETTE, IN 47905-2463
(765) 474-0272
(765) 477-8200
Mailing address
9202 N MERIDIAN ST, INDIANAPOLIS, IN 46260-1800
(317) 841-2020
(317) 570-7433
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200147980A
—
IN
Enumeration date
02/14/2006
Last updated
02/19/2024
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