| NPI | 1427196807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JENNISON BULKLEY Physican Owner 870-240-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207Y00000X Otolaryngology | |
| 207YS0012X Otolaryngology, Sleep Medicine | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 231H00000X Audiologist (Licence: AR A417) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2017-10-30 |