NPI | 1194771592 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE SCOTT President 812-283-8770 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2018-02-16 |