Organization
GENESIS PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M CHAVARRIA D.C. (OWNER)
(317) 755-7542
Entity
Organization
Contact information
Practice address
2001 W. WASHINGTON STREET, SUITE A, INDIANAPOLIS, IN 46222-4299
(317) 635-8884
(317) 635-8810
Mailing address
2001 W WASHINGTON ST, SUITE A, INDIANAPOLIS, IN 46222-4299
(317) 635-8884
(317) 635-8810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
51000469A
IN
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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