Organization
ENT ASSOCIATES OF SOUTHERN INDIANA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LYNN WEST (OFFICE MANAGER)
(812) 332-2226
Entity
Organization
Contact information
Practice address
2920 MCINTYRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
(812) 332-2226
(812) 339-2934
Mailing address
2920 MCINTYRE DR, SUITE 350, BLOOMINGTON, IN 47403-4221
(812) 332-2226
(812) 339-2934
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
50000616A
IN
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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