| NPI | 1245623792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORVILLE HUGH DYCE Owner 1843-568-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SC 27632) |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: SC 27632) |
| 207YS0012X (Licence: SC 27632) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-04-20 |