| 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 |