Organization
PHYSICAL MEDICINE AND REHABILITATION
Active
Other names
Medical Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILLIAM JOHNSON MD (OWNER)
(812) 425-2662
Entity
Organization
Contact information
Practice address
1146 WASHINGTON SQ, EVANSVILLE, IN 47715-6809
(812) 426-2662
(812) 426-3141
Mailing address
1146 WASHINGTON SQ, EVANSVILLE, IN 47715-6809
(812) 426-2662
(812) 426-3141
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
01035716A
IN
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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