| NPI | 1437518545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN R SWIFT Owner 307-688-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |