Individual
MR. PHILIP SALAMANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-A
Contact information
Practice address
990 S MARION ST, MARTINSVILLE, IN 46151-2438
(765) 342-5497
Mailing address
403 PAINTED HLS, MARTINSVILLE, IN 46151-8678
(765) 342-2568
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
455
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183960A
—
IN
Enumeration date
07/05/2006
Last updated
07/08/2007
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