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Facial Plastic Surgery Ears, Nose, And Throat Clinic
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Kokomo, Indiana
NPI 1043404296

Facial Plastic Surgery Ears, Nose, And Throat Clinic is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician based in Kokomo, IN and is specialized in Plastic Surgery Within the Head and Neck. Facial Plastic Surgery Ears, Nose, And Throat Clinic practices in Kokomo, IN. The NPI Number for Facial Plastic Surgery Ears, Nose, And Throat Clinic is 1043404296 and holds a License No. (Indiana).

The current practice location address for Facial Plastic Surgery Ears, Nose, And Throat Clinic is 2220 W Alto Rd, Kokomo, IN and can be reached out via phone at 765-455-2577.

Location: 2220 W Alto Rd, Kokomo, IN, 46902-4840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043404296
Provider Name
Facial Plastic Surgery Ears, Nose, And Throat Clinic
Credential
Provider Entity Type
Organization
Address
2220 W Alto Rd, Kokomo, IN, 46902-4840
Phone Number
765-455-2577
Fax Number
Provider Enumeration Date
08/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000087718 01 IN BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2220 W Alto Rd
City
Kokomo
State
Indiana
Zip
46902-4840
Phone Number
765-455-2577
Fax Number
person
Provider Business Mailing Address Details
Address
2220 W Alto Rd
City
Kokomo
State
Indiana
Zip
46902-4840
Phone Number
765-455-2577
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
()
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
()
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
()
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Plastic Surgery Within the Head and Neck
Taxonomy
2082S0099X
License No.
()
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
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