| 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 |