225200000X
Jasper, IN
Specialty
225200000X
Credential
PTA
NPI
1023148327
1900 Saint Charles St, Jasper, IN 47546
(812) 634-1211Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 225200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 225200000X