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Organization

SOUTH EMERSON PAIN MANAGEMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY A FOOTE (ADMINISTRATOR)
(317) 888-1051
Entity
Organization

Contact information

Practice address
8141 S EMERSON AVE, SUITE A, INDIANAPOLIS, IN 46237-8560
(317) 888-1051
(317) 888-1591
Mailing address
8141 S EMERSON AVE, SUITE A, INDIANAPOLIS, IN 46237-8560
(317) 888-1051
(317) 888-1591

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
07/22/2006
Last updated
06/01/2015
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