Organization
MIDWEST EAR NOSE & THROAT HEAD & NECK SURGERY OF OWENSBORO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C LOGAN (PHYSICIAN OWNER)
(270) 691-6161
Entity
Organization
Contact information
Practice address
2841 NEW HARTFORD RD, OWENSBORO, KY 42303
(270) 691-6161
(270) 926-2364
Mailing address
2841 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
207YS0123X
Facial Plastic Surgery Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/03/2006
Last updated
02/25/2019
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