Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 02004143A | IN |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 03534 | KY |
N | 207YS0123X | Facial Plastic Surgeon | OT012558 | PA |
NPI | 1023273810 |
---|---|
Provider Name | Dr. Ryan Charles Palmer |
First Address | Evansville, IN 47714-8009 |
Second Address | Evansville, IN 47714-8009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 19/07/2015 |