| NPI | 1508167677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA S WELSH Credentialing Coordinator 479-338-2914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2017-12-21 |