| NPI | 1699854745 |
|---|---|
| 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 | 2006-11-02 |
| Last Update Date | 2020-08-22 |