| NPI | 1508167677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA WILCHER CFO 479-314-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2025-04-30 |