| NPI | 1396040226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A SKIDMORE Chief Executive Officer 707-525-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 231H00000X Audiologist | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2018-11-05 |