NPI | 1104078542 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITT ASHLEY THEDINGER CEO 402-933-3277 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: NE 18188) |
Enumeration Date | 2008-10-16 |
Last Update Date | 2010-07-07 |