Organization
PAIN MANAGEMENT SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MASIMORE MD (AUTHORIZED OFFICIAL)
(317) 346-7246
Entity
Organization
Contact information
Practice address
730 EXECUTIVE PARK DR STE A, GREENWOOD, IN 46143-3213
(317) 346-7246
(317) 534-3763
Mailing address
730 EXECUTIVE PARK DR STE A, GREENWOOD, IN 46143-3213
(317) 346-7246
(317) 534-3763
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
IN
208VP0014X
Interventional Pain Medicine Physician
—
IN
Other
Enumeration date
05/11/2011
Last updated
12/13/2017
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