| NPI | 1477513745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WALZ Partner/Delegated Official 760-340-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| 207YX0901X Otolaryngology Otology & Neurotology | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-07-21 |