| NPI | 1285613513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE L POWERS Owner 434-220-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2008-06-20 |