| NPI | 1740456581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA H FERRELL Owner 317-887-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2010-12-07 |