| NPI | 1336101179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN C JONES Partner 570-408-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 231H00000X Audiologist | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-05-30 |