Organization · Type 2 NPI

Pain Management Center of Southern Indiana, Inc.

Multi-Specialty Clinic/Center · Bloomington, IN

NPI number 1629063797 Active

Practice location

2920 Mcintyre Dr, Suite 150
Bloomington, IN 47403-4221

Fax (812) 333-4471

Mailing address

PO Box 5635
Bloomington, IN 47407-5635

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X50003765A (IN)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1629063797

Pain Management Center of Southern Indiana, Inc.'s National Provider Identifier is 1629063797, issued on Sep 15, 2005. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Bloomington, IN. The record was last updated on Jun 15, 2009.