| 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 | 363A00000X Physician Assistant |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207Q00000X Family Medicine | |
| 208VP0000X | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363L00000X Nurse Practitioner | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-09-28 |