| NPI | 1356317440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DONALD SHORTS President 870-535-5719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AR MC1312) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: AR MC1312) |
| 231H00000X Audiologist (Licence: AR A#283) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: AR A#283) | |
| 207K00000X Allergy & Immunology (Licence: AR MC1312) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2019-04-30 |