| NPI | 1649499906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS VIC BARNHART President 317-352-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IN 08001268A) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |