| NPI | 1558533265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L JORGENSEN President/Owner 712-262-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IA 21909) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2016-07-27 |