NPI | 1619048402 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE LYNN WEST Office Manager 812-332-2226 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 50000616A) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-08-22 |