NPI | 1801938642 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA VELTEN Billing Clerk 812-207-2092 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: KY 22779) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 22779) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2011-11-02 |