# INDY PAIN & INJURY CENTERS LLC

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

## Provider details

- **NPI number:** 1609190842
- **Authorized official:** DR. TERRY TOLLE (PRESIDENT)
- **Authorized official phone:** (317) 522-2303

## Contact information

- **Practice address:** 4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
- **Practice address phone:** (317) 522-2303
- **Practice address fax:** (317) 522-2304
- **Mailing address:** 4625 S EMERSON AVE, INDIANAPOLIS, IN 46203-5972
- **Mailing address phone:** (317) 522-2303
- **Mailing address fax:** (317) 522-2304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01031490A | IN | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 07/11/2013