| NPI | 1326472259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA FERRELL Owner 317-781-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: IN 01056802A) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |