| NPI | 1154883379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHANCELLOR Md 702-487-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2023-12-13 |