| NPI | 1952388837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK D SUMMERLIN President Md 317-923-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IN 01017561) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2008-05-12 |