NPI | 1124813076 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LIEBLONG President 870-932-7024 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2025-04-11 |
Last Update Date | 2025-04-11 |