NPI | 1134317308 |
---|---|
Doing Business As | FOOTHILL ENT CARE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | LEWIT A WORRELL President 909-730-4261 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CA A67787) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2008-07-10 |