NPI 1154857548

Obsidian Surgical LLC

Organisation Plastic Surgery Physician Avon, IN

Practice location

Address: 10090 E US Highway 36 Suite D, Avon, IN 46123-8175
Phone: (317) 399-4567
Mailing address: 1805 Beaufain St, Carmel, IN 46032-7202

Authorised official

Name: Stanley Joseph Harper
Title: Md/President/Owner
Phone: (317) 399-4567

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 01068593A (IN)

Other Plastic Surgery providers in Indiana →

Registry record

NPI: 1154857548
Entity type: Organization
NPI issued: 4 May 2017
Record last updated: 4 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.