| NPI | 1942483318 | 
|---|---|
| Doing Business As | ST VINCENT HEADACHE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | EDWARD DAVID ZDOBYLAK Owner 317-582-8270 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01051068A) | 
| Enumeration Date | 2007-12-08 | 
| Last Update Date | 2007-12-08 |