| NPI | 1487606489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY OCHSNER Credentialing Specialist 317-781-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01026731A) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |