NPI | 1265583652 |
---|---|
Doing Business As | ADVANCED SPECIALTY ASSOCIATES |
Former Legal Business Name | KURTIS A WATERS MD PA |
Entity Type | Organization |
Authorized Contact | KURTIS ALLEN WATERS Director 218-454-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MN 37843) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2023-09-19 |