| NPI | 1477639623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P FOUTY CFO/Authorized Representative 812-232-0564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-04-20 |