| NPI | 1316005044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH VERONNEAU Physician 606-886-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-06-23 |