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NPI Code Detail

MEDICARE: ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS

MEDICARE: ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician

General Provider Information

NPI Number : 1497738231
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS
Provider Business Mailing Address
First Line : 2516 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1608
Country : US
Telephone Number : 260-490-8422
Fax Number : 260-490-5891
Provider Business Practice Location Address
First Line : 2516 E DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1608
Country : US
Telephone Number : 260-490-8422
Fax Number : 260-490-5891
Authorized Official
Title or Position : PHYSICIAN/EMPLOYEE
Name : JOHN H. FALLON
Credential : M.D.
Telephone Number : 260-484-0919
Provider Enumeration Date : 11/25/2005
Last Update Date : 08/22/2020

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Directions to “ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS ” Practice Location

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