Organization
INSTITUTE OF COMPREHENSIVE PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A DUNIPACE M.D. (OWNER)
(317) 887-9999
Entity
Organization
Contact information
Practice address
30 SOUTH EMERSON AVENUE, GREENWOOD, IN 46143
(317) 802-6317
(317) 870-0499
Mailing address
PO BOX 6069, DEPT 212, INDIANAPOLIS, IN 46206-6069
(866) 333-6656
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
01040468
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000493208
ANTHEM
IN
05
—
200833690
—
IN
Enumeration date
08/22/2006
Last updated
08/31/2015
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