| NPI | 1801918024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAY HASTETTER Practice Manager 812-476-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IN 01068416A) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01040195A) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2015-01-13 |