Organization
OTOLARYNGOLOGY SPECIALTY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER E STEVENS M.D. (OWNER)
(812) 669-1490
Entity
Organization
Contact information
Practice address
2345 NORTHPARK DR, COLUMBUS, IN 47203-4473
(812) 669-1490
(812) 669-1491
Mailing address
2345 NORTHPARK DR, COLUMBUS, IN 47203-4473
(812) 669-1490
(812) 669-1491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201078850A
—
IN
Enumeration date
06/01/2012
Last updated
01/08/2025
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