RICHARD T MIYAMOTO

INDIANAPOLIS, IN
NPI1144258625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207YX0901X Otolaryngology Otology & Neurotology
(Licence: IN  01024300)
Enumeration Date2006-06-30
Last Update Date2014-02-18
Business Address
RICHARD T MIYAMOTO M.D.
705 RILEY HOSPITAL DR SUITE 0860
INDIANAPOLIS, IN 46202-5109
Phone number: 317-274-3556
Mailing Address
RICHARD T MIYAMOTO M.D.
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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