| NPI | 1376975219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C. FLAVILL Owner 937-283-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.121145) |
| Additional Taxonomies | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OH 35.121145) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OH 35.121145) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2017-03-05 |