NPI | 1598950842 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN ALEXANDER MACKAY Owner 812-339-5424 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: 01062200A) |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2007-09-10 |
Last Update Date | 2015-02-10 |