NPI | 1386826626 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMINE MARK WELCH Owner 918-341-5088 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: OK 3797) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |