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David George Short, DO
Otolaryngology/Facial Plastic Surgery Physician in Logansport, Indiana
NPI 1134184153

David George Short is a Otolaryngology/Facial Plastic Surgery Physician based in Logansport, IN and is specialized in Otolaryngology/Facial Plastic Surgery. David George Short practices in Logansport, IN and has the professional credentials of DO. The NPI Number for David George Short is 1134184153 and holds a License No. 02001212A (Indiana).

The current practice location address for David George Short is 1025 Michigan Avenue, Logansport, IN and can be reached out via phone at 574-753-2222 and via fax at 574-753-0522.

Location: 1025 Michigan Avenue, Logansport, IN, 46947-1594
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134184153
Provider Name
David George Short
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1025 Michigan Avenue, Logansport, IN, 46947-1594
Phone Number
574-753-2222
Fax Number
574-753-0522
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
265973 01 IN HARMONY
000000090844 01 IN ANTHEM
000000596741 01 IN ANTHEM (LMH)
5231880002 01 IN CIGNA
1019948 01 IN TRICARE
0004358987 01 IN AETNA
100071010 05 IN
356001853017 01 IN TRICARE
institution
Provider Business Practice Location Address Details
Address
1025 Michigan Avenue
City
Logansport
State
Indiana
Zip
46947-1594
Phone Number
574-753-2222
Fax Number
574-753-0522
person
Provider Business Mailing Address Details
Address
1025 Michigan Avenue
City
Logansport
State
Indiana
Zip
46947-1594
Phone Number
574-753-2222
Fax Number
574-753-0522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
02001212A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
02001212A (Indiana)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
02001212A (Indiana)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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