| NPI | 1417227802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS D FURZE President 800-498-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: CA A110385) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A110385) |
| 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CA A110385) | |
| 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CA A110385) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2017-06-06 |