| |
223 S State Road 135, Greenwood, IN 46142-1421 | |
(317) 881-9792 | |
(317) 882-1766 |
Full Name | |
---|---|
Type | Facility |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 223 S State Road 135, Greenwood, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598953317 | NPI | - | NPPES |
000000207597 | Other | IN | ANTHEM |
200223900 | Medicaid | IN | |
350053496 | Other | RAILROAD MEDICARE | |
7165004 | Other | AETNA | |
08001713 | Other | IN | LICENSE |
Mailing Address | Practice Location Address |
---|---|
223 S State Road 135, Greenwood, IN 46142-1421 Ph: (317) 881-9792 | 223 S State Road 135, Greenwood, IN 46142-1421 Ph: (317) 881-9792 |