| NPI | 1063852135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT B REMLEY Owner 317-441-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2014-10-01 |