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 Otolaryngology, Sleep Medicine (Licence: SC 27632) | |
Enumeration Date | 2015-03-09 |
Last Update Date | 2015-04-20 |