| NPI | 1215497763 |
|---|---|
| Doing Business As | AVON PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | GENI KLAYER Network Director 317-837-5571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |