| NPI | 1194968081 |
|---|---|
| Former Legal Business Name | ENT ASSOCIATES OF LOS ALAMOS |
| Entity Type | Organization |
| Authorized Contact | ADRIENNE SUMMERS Credentialing Manager 435-559-1008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2025-07-23 |