| NPI | 1407470214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALLACE WEBSTER Owner 541-297-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |