| NPI | 1497841068 |
|---|---|
| Doing Business As | WILLOW CREEK PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | GAVIN DOUGLAS CHARTIER Ownder/CEO 812-886-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 01041179) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-05-19 |