Organization
NORTH CENTRAL INDIANA EAR NOSE AND THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GEORGE SHORT DO (PHYSICIAN)
(574) 753-2222
Entity
Organization
Contact information
Practice address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 753-2222
(574) 753-0522
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 753-2222
(574) 753-0522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134184153
NPI
IN
Enumeration date
01/04/2007
Last updated
08/22/2020
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