| NPI | 1437275229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE DWAIN LOY Pc 765-474-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IN 01026301A) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-11-01 |