# INDIANA PELVIC PAIN SPECIALISTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073257291
- **Authorized official:** AMY DAWN MEDLEY DPT (VICE PRESIDENT)
- **Authorized official phone:** (812) 891-3216

## Contact information

- **Practice address:** 985 DORMAN ST, INDIANAPOLIS, IN 46202-3570
- **Practice address phone:** (317) 288-1763
- **Practice address fax:** (816) 208-9047
- **Mailing address:** 985 DORMAN ST, INDIANAPOLIS, IN 46202-3570
- **Mailing address phone:** (317) 288-1763
- **Mailing address fax:** (816) 208-9047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 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