Organization
ADVANCED PAIN CARE CLINIC PSC
Active
Organization
ADVANCED PAIN CARE CLINIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMA SAILAJA SANAPATI (MANAGER)
(812) 477-7246
Entity
Organization
Contact information
Practice address
5320 WESTON RD, EVANSVILLE, IN 47712-3701
(812) 477-7246
(812) 477-7240
Mailing address
1101 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8018
(812) 758-4037
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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