Organization
FAMILY ENT SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON K ROYER MD (PRESIDENT)
(812) 465-2727
Entity
Organization
Contact information
Practice address
706 N BURKHARDT RD, EVANSVILLE, IN 47715-2740
(812) 465-2727
(812) 297-8954
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01065502A
IN
207Y00000X
Otolaryngology Physician
Primary
01073983A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201324210A
—
IN
Enumeration date
12/05/2017
Last updated
12/30/2021
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