Organization
GIFFIN ENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S GIFFIN M.D. (OWNER)
(260) 625-5071
Entity
Organization
Contact information
Practice address
2516 E DUPONT RD, FORT WAYNE, IN 46825-1608
(260) 625-5071
(260) 625-5072
Mailing address
15450 BRIDGEWATER CLUB BLVD, CARMEL, IN 46033-8108
(260) 625-5071
(260) 625-5072
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
10/04/2007
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