NPI | 1386367191 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN Secretary Treas 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2022-09-26 |
Last Update Date | 2024-05-20 |