| NPI | 1538114046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO ARTURO ROA Sole Member/Medical Director 740-886-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV 17624) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |