Organization
SOUTHERN INDIANA ENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY D SANDERS M.D. (CO-OWNER-PARTNER)
(812) 376-3071
Entity
Organization
Contact information
Practice address
1655 N GLADSTONE AVE, SUITE E, COLUMBUS, IN 47201-5392
(812) 376-3071
(812) 378-5721
Mailing address
1655 N GLADSTONE AVE, SUITE E, COLUMBUS, IN 47201-5392
(812) 376-3071
(812) 378-5721
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200337430
—
IN
Enumeration date
04/09/2007
Last updated
02/03/2014
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