| NPI | 1396976577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER DAVIS MERRITT President 307-335-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-09-17 |