NPI | 1124216700 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C. SKALESKI Office Manager 870-722-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: AR R2502) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2011-05-13 |