Organization
PHYSICAL MEDICINE AND REHABILITATION
Active
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
Update your record
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