| 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 |