Organization
MERIDIAN PAIN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY HOWARD WRIGHT M.D. (PRESIDENT)
(317) 550-3999
Entity
Organization
Contact information
Practice address
69 E GARNER RD, 300, BROWNSBURG, IN 46112-7698
(317) 550-3999
(888) 588-4403
Mailing address
69 E GARNER RD, 300, BROWNSBURG, IN 46112-7698
(317) 550-3999
(888) 588-4403
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
01027589A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50005219A
MEDLICAL CORPORATION
IN
Enumeration date
04/16/2013
Last updated
02/04/2016
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