| NPI | 1538674783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JONES Owner 314-495-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: OK 31852) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2019-05-22 |