| 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 |