| NPI | 1245546506 |
|---|---|
| Doing Business As | PAIN MANAGEMENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DERK FRASIER Owner 812-376-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363L00000X Nurse Practitioner | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |