Organization
INDIANA PELVIC PAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DAWN MEDLEY DPT (VICE PRESIDENT)
(812) 891-3216
Entity
Organization
Contact information
Practice address
985 DORMAN ST, INDIANAPOLIS, IN 46202-3570
(317) 288-1763
(816) 208-9047
Mailing address
985 DORMAN ST, INDIANAPOLIS, IN 46202-3570
(317) 288-1763
(816) 208-9047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/25/2022
Last updated
01/29/2024
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