NPI | 1073664207 |
---|---|
Entity Type | Organization |
Authorized Contact | KURT KANTZLER Owner 256-543-2867 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: AL DO637) |
Additional Taxonomies | 207Q00000X Family Medicine |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AL DO637) | |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: AL MD27282) | |
Enumeration Date | 2007-01-15 |
Last Update Date | 2020-08-22 |