Northeast Otolaryngology, P.c.

NPI 1417903774 - Otolaryngology - 207YX0602X

NPI Details
NPI 1417903774
Enumeration Date 05/26/2006
Last Updated 03/10/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JODINE DIANE JODINE
Position PRACTICE ADMINISTRATOR
Phone (317) 621-6673
Fax (317) 621-3073
Practice Location
18000 RIVER AVE
NOBLESVILLE IN, 46062-8329, US
Phone (317) 621-6673
Fax (317) 621-3073
Business Location
18000 RIVER AVE
NOBLESVILLE IN, 46062-8329, US
Phone (317) 621-6673
Fax (317) 621-3073
Toxanomy
Taxonomy Code 207YX0602X
License State
License Number
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According to our database, Northeast Otolaryngology, P.c. NPI is 1417903774, taxonomy code is 207YX0602X Northeast Otolaryngology, P.c. physically located at 18000 River Ave, Noblesville IN, 46062-8329. NPI Number 1033115704 has the healthcare provider type.

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1417903774 NPI number is provided on an as is basis without warranty of any kind. 1417903774 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Otolaryngology, P.c. are for informational purposes only.