DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OBSIDIAN SURGICAL LLC

Active Organization

OBSIDIAN SURGICAL LLC is a Plastic Surgery organization located in AVON, Indiana. NPI 1154857548 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · AVON, IN

Registration Details

NPI Number
1154857548
Provider Type
Organization
NPI Issued
May 4, 2017 (9.2990479274754 yrs)
Last Updated
May 4, 2017
License
01068593A (IN)

Practice Information

Address
10090 E US HIGHWAY 36
SUITE D
AVON, IN, 461238175
Browse IN providers · Browse ZIP 46123
Phone
3173994567
Primary Specialty
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.