Organization
PAIN CENTER OF SOUTHEAST INDIANA
Active
Other names
Indiana Pain Medicine & Rehab Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ALEXANDER M D (OWNER)
(812) 523-3700
Entity
Organization
Contact information
Practice address
1425 CORPORATE WAY, SEYMOUR, IN 47274-3391
(812) 523-3700
(812) 524-2946
Mailing address
1425 CORPORATE WAY, P O BOX 926, SEYMOUR, IN 47274-3391
(812) 523-3700
(812) 524-2946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01050375A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202918
ANTHEM
IN
Enumeration date
10/02/2007
Last updated
12/13/2007
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