| NPI | 1285780767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A TAYLOR Office Manager 928-774-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: AZ MD3000) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AZ MD3000) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-04-04 |