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 |