| NPI | 1134391303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALLAN BALAZS President 937-723-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: OH 34002666) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |