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Organization
INDIANA PAIN AND SPINE CARE
Active
Organization
INDIANA PAIN AND SPINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN EVANOFF JR. M.D. (OWNER)
(317) 837-1999
Entity
Organization
Contact information
Practice address
1100 SOUTHFIELD DR, SUITE 1330, PLAINFIELD, IN 46168-4498
(317) 837-1999
(317) 837-0233
Mailing address
1100 SOUTHFIELD DR, SUITE 1330, PLAINFIELD, IN 46168-4498
(317) 837-1999
(317) 837-0233
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496300A
—
IN
Enumeration date
11/16/2005
Last updated
10/08/2009
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