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4600 W Lloyd Expy Evansville IN 47712-6517 | |
| (812) 450-7246 | |
| (812) 450-4855 |
| Full Name | |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 4600 W Lloyd Expy, Evansville, Indiana |
| Authorized Official Name and Position | Cheryl A Wathen (CFO) |
| Authorized Official Contact | 8124503296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3407 Evansville IN 47733-3407 Ph: (812) 450-4800 | 4600 W Lloyd Expy Evansville IN 47712-6517 Ph: (812) 450-7246 |
| NPI Number | 1013222322 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013222322 | NPI | - | NPPES |
| 200226410H | Medicaid | IN |
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