NPI | 1205194677 |
---|---|
Doing Business As | TRISTATE INTEGRATIVE PAIN CENTER |
Entity Type | Organization |
Authorized Contact | BRANT STEVEN SANDERS President 812-449-2733 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01048158A) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-10-11 |