NPI | 1477197457 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN ELDER President 717-269-3106 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
Additional Taxonomies | 207Y00000X Otolaryngology |
Enumeration Date | 2019-11-01 |
Last Update Date | 2019-11-01 |