| NPI | 1316167463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL ELLIOTT DALTON Physician Owner 419-227-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35083245) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2023-03-07 |