| NPI | 1407609258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL RUSHER CEO 501-812-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology Pediatric Otolaryngology |
| 207YS0123X Otolaryngology Facial Plastic Surgery | |
| 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-01-10 |