NPI | 1063552529 |
---|---|
Doing Business As | APPALACHIAN REGIONAL HEAD & NECK CENTER |
Entity Type | Organization |
Authorized Contact | FRANK DANIEL MONGIARDO M.D. 606-439-4466 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: KY 25357) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4979P) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2010-12-07 |