NPI 1023130333
Otolaryngology Associates LLC
Practice location
- Address
- 1115 Ronald Reagan Pkwy STE 255, Avon, IN 46123-6913
- Phone
- (317) 844-7059
- Fax
- (317) 573-4352
- Mailing address
- 9002 N Meridian St STE 222, Indianapolis, IN 46260-5350
Authorised official
- Name
- Thomas H Fairchild
- Title
- President
- Phone
- (317) 844-7059
Registered specialties
Otolaryngology Physician
Primary
Registry record
- NPI
- 1023130333
- Entity type
- Organization
- NPI issued
- 6 Apr 2007
- Record last updated
- 20 Jul 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.