| NPI | 1689981979 |
|---|---|
| Doing Business As | PAIN MANAGEMENT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | DERK FRASIER Owner 812-333-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |