| NPI | 1508510942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TROBRIDGE Owner 317-250-7973 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |