Organization
AMBULATORY SURGERY CENTER FOR PAIN RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A RUPERT D.O. (OWNER)
(812) 867-9800
Entity
Organization
Contact information
Practice address
2330 LYNCH RD, SUITE 100B, EVANSVILLE, IN 47711-2998
(812) 867-9800
(812) 867-4720
Mailing address
2330 LYNCH RD, SUITE 100B, EVANSVILLE, IN 47711-2998
(812) 867-9800
(812) 867-4720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200978620A
—
IN
05
—
7100314120
—
KY
Enumeration date
05/23/2008
Last updated
12/16/2015
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