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Organization
INDIANA PAIN AND WELLNESS CENTER PC
Active
Organization
INDIANA PAIN AND WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO JOHNSON SC (OWNER)
(317) 580-9867
Entity
Organization
Contact information
Practice address
1305 W 96TH ST STE C, INDIANAPOLIS, IN 46260-1193
(317) 580-9867
Mailing address
1305 W 96TH ST STE C, INDIANAPOLIS, IN 46260-1193
(317) 580-9867
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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