Individual
DR. THOMAS H FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5255 EAST STOP 11 ROAD, SUITE 400, INDIANAPOLIS, IN 46237-6341
(317) 573-4370
(317) 819-0044
Mailing address
9002 NORTH MERIDIAN STREET, SUITE 222, INDIANAPOLIS, IN 46260-5350
(317) 573-4370
(317) 819-0044
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01029453A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040008969
MEDICARE RAILROAD
IN
05
—
100338660
—
IN
Enumeration date
01/03/2007
Last updated
12/27/2013
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