Indiana Spine and Pain Center INC
NPI #1265644397 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1265644397
- Entity Type
- Organization
- Organization Name
- Indiana Spine and Pain Center INC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- May 3, 2007
- Last Updated
- Feb 8, 2013
Practice Location
- Address
- 8202 CLEARVISTA PARKWAY
- Address 2
- SUITE 9 E
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46256-1457
- Phone
- (317) 577-1800
Authorized Official
- Name
- DR. PHILLIP R. KINGMA, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (317) 577-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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