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Organization
ANESTHESIA PAIN SPECIALIST, LLC
Active
Organization
ANESTHESIA PAIN SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA H FERRELL MD (OWNER)
(317) 887-7420
Entity
Organization
Contact information
Practice address
6325 S EAST ST, INDIANAPOLIS, IN 46227-7110
(317) 781-0067
(317) 791-1242
Mailing address
PO BOX 3046, INDIANAPOLIS, IN 46206-3046
(317) 614-9641
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IN
208VP0000X
Pain Medicine Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200903580A
—
IN
Enumeration date
05/01/2008
Last updated
12/07/2010
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