| NPI | 1477589000 |
|---|---|
| Doing Business As | CENTER FOR PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MANDABACH Business Office Manager 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 154505) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-08-04 |