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Organization

ANESTHESIA PAIN SPECIALIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYDIA H FERRELL MD (OWNER)
(317) 887-7420
Entity
Organization

Contact information

Practice address
6325 S EAST ST, INDIANAPOLIS, IN 46227-7110
(317) 781-0067
(317) 791-1242
Mailing address
PO BOX 3046, INDIANAPOLIS, IN 46206-3046
(317) 614-9641
(317) 614-9655

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
IN
208VP0000X
Pain Medicine Physician
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200903580A
IN
Enumeration date
05/01/2008
Last updated
12/07/2010
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