| NPI | 1053545053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD KLINGENSMITH President 724-834-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: PA MD027651E) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |