Indy Pain & Injury Centers Llc | |
4625 S Emerson Ave Indianapolis IN 46203-5972 | |
(317) 522-2303 | |
(317) 522-2304 |
Full Name | Indy Pain & Injury Centers Llc |
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Speciality | Family Medicine |
Location | 4625 S Emerson Ave, Indianapolis, Indiana |
Authorized Official Name and Position | Terry Tolle (PRESIDENT) |
Authorized Official Contact | 3175222303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Indy Pain & Injury Centers Llc 4625 S Emerson Ave Indianapolis IN 46203-5972 Ph: (317) 522-2303 | Indy Pain & Injury Centers Llc 4625 S Emerson Ave Indianapolis IN 46203-5972 Ph: (317) 522-2303 |
NPI Number | 1609190842 |
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Provider Enumeration Date | 03/17/2010 |
Last Update Date | 07/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609190842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01031490A (Indiana) | Primary |
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