Individual
DAVID GEORGE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1025 MICHIGAN AVENUE, SUITE 215, LOGANSPORT, IN 46947-1594
(574) 753-2222
(574) 753-0522
Mailing address
1025 MICHIGAN AVENUE, SUITE 215, LOGANSPORT, IN 46947-1594
(574) 753-2222
(574) 753-0522
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
02001212A
IN
207Y00000X
Otolaryngology Physician
Primary
02001212A
IN
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
02001212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090844
ANTHEM
IN
01
—
000000596741
ANTHEM (LMH)
IN
01
—
0004358987
AETNA
IN
05
—
100071010
—
IN
01
—
1019948
TRICARE
IN
01
—
265973
HARMONY
IN
01
—
356001853017
TRICARE
IN
01
—
5231880002
CIGNA
IN
Enumeration date
04/20/2006
Last updated
12/08/2015
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