| 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 |