| NPI | 1104932185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A DUNIPACE Owner 317-887-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IN 01040468) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-08-31 |