| NPI | 1497785273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYL JO BORDER Practice Administrator 317-815-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-09-03 |