| NPI | 1295377497 |
|---|---|
| Doing Business As | ELITE PAIN AND SPINE |
| Entity Type | Organization |
| Authorized Contact | JOHN T RUXER President 812-639-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2021-05-24 |