| NPI | 1154308021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEE ONEAL Billing 410-742-1567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2024-11-25 |