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4015 Gateway Blvd Ste 2120 Newburgh IN 47630-9460 | |
| (812) 842-2737 | |
| (812) 842-2751 |
| Full Name | |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 4015 Gateway Blvd Ste 2120, Newburgh, 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) 842-2737 | 4015 Gateway Blvd Ste 2120 Newburgh IN 47630-9460 Ph: (812) 842-2737 |
| NPI Number | 1750696068 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750696068 | NPI | - | NPPES |
| 200226410G | Medicaid | IN |
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