NPI | 1427296623 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY A KOZAK Owner 541-479-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery |
Enumeration Date | 2009-01-26 |
Last Update Date | 2009-01-26 |