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Organization
INDIANA PELVIC PAIN SPECIALISTS PC
Active
Organization
INDIANA PELVIC PAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAWN MEDLEY DPT (VICE PRESIDENT)
(812) 891-3216
Entity
Organization
Contact information
Practice address
985 DORMAN ST, INDIANAPOLIS, IN 46202-3570
(317) 288-1763
(816) 208-9047
Mailing address
985 DORMAN ST, INDIANAPOLIS, IN 46202-3570
(317) 288-1763
(816) 208-9047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
NULL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/25/2022
Last updated
01/29/2024
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