| NPI | 1851277867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KOWLOWITZ Owner 317-706-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-10-10 |