| NPI | 1811351778 |
|---|---|
| Doing Business As | OPIOID MANAGEMENT GROUP |
| Entity Type | Organization |
| Authorized Contact | SIMON FU FENG Owner 317-560-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2022-03-24 |