| NPI | 1235314725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY A VAN DUYNE Owner Physician 775-322-4589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NV 9031) |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: NV 9031) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-05-02 |