| NPI | 1467667329 |
|---|---|
| Doing Business As | UPPER VALLEY ENT |
| Entity Type | Organization |
| Authorized Contact | PAMELA RADER Administrator 937-440-7454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-08-20 |