| NPI | 1447398839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H FAIRCHILD President 317-844-7059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-07-23 |