Otolaryngology Associates LLC

NPI #1013039593 in Mooresville, Indiana

Provider Information

NPI Number: 1013039593
Entity Type: Organization
Organization Name: Otolaryngology Associates LLC
Primary Specialty: Otolaryngology
Enumeration Date: Apr 4, 2007
Last Updated: Jul 20, 2010

Practice Location

Address: 1001 HADLEY RD
City: Mooresville
State: Indiana
ZIP Code: 46158-1794
Phone: (317) 844-7059

Authorized Official

Name: THOMAS H FAIRCHILD, M.D.
Title: PRESIDENT
Phone: (317) 844-7059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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