Organization
INDIANA PAIN AND WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO JOHNSON SC (OWNER)
(317) 580-9867
Entity
Organization
Contact information
Practice address
1305 W 96TH ST STE C, INDIANAPOLIS, IN 46260-1193
(317) 580-9867
Mailing address
1305 W 96TH ST STE C, INDIANAPOLIS, IN 46260-1193
(317) 580-9867
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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