| NPI | 1194968081 |
|---|---|
| Former Legal Business Name | ENT ASSOCIATES OF LOS ALAMOS |
| Entity Type | Organization |
| Authorized Contact | ALEXUS IRWIN Credentialing Manager 801-822-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2021-02-18 |