| NPI | 1376955245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JONAS ARCHIBALD Owner 509-315-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CO DR.0053492) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2021-03-26 |