| NPI | 1407528615 |
|---|---|
| Doing Business As | VITALITY PAIN CARE |
| Entity Type | Organization |
| Authorized Contact | TAMIA FISHER Credentialing 812-962-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-11-02 |