OrganizationActive
Obsidian Surgical LLC
NPI 1154857548 · Plastic Surgery Physician · Avon, IN
Provider details
- NPI number
- 1154857548
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Stanley Harper, Md/President/Owner
- License
- 01068593A (IN)
Practice location
10090 E US Highway 36
Suite D
Avon, IN 46123-8175
Phone: (317) 399-4567
Mailing address
1805 Beaufain St
Carmel, IN 46032-7202
Registry dates
- Enumerated
- 2017-05-04
- Last updated
- 2017-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.