NPI | 1346918208 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN Secretary/Treasurer 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2024-05-20 |