| NPI | 1245691963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN S DOYLE Owner/President 208-503-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD00014948) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |