363LA2100X
Newburgh, IN
Specialty
363LA2100X
Credential
N.P.
NPI
1831118421
3800 Venetian Way, Newburgh, IN 47630
(812) 477-6103Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363la2100x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LA2100X