| NPI | 1467907907 |
|---|---|
| Doing Business As | MEDICAL PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM JOHNSON Owner 812-425-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IN 01035716A) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |