NPI | 1689813669 |
---|---|
Entity Type | Organization |
Authorized Contact | TREVOR BRANDON GILBERT President 812-847-2160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IN 08002409A) |
Enumeration Date | 2009-02-13 |
Last Update Date | 2015-07-02 |