NPI | 1114113529 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP SCOTT BALLINGER President 501-305-2251 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR E-2157) |
Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: AR E-2157) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2007-09-19 |