Orl PC

NPI #1508960774 in Fort Wayne, Indiana

Provider Information

NPI Number: 1508960774
Entity Type: Organization
Organization Name: Orl PC
Primary Specialty: Otolaryngology
Enumeration Date: Sep 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 800 BROADWAY
Address 2: STE 207
City: Fort Wayne
State: Indiana
ZIP Code: 46802-2149
Phone: (260) 422-2386

Authorized Official

Name: SANFORD C SNYDERMAN, MD
Title: SECRETARY
Phone: (260) 422-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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