| NPI | 1467524082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE WHITE Owner Physician 304-645-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-03-17 |