| 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 |