| NPI | 1568542256 |
|---|---|
| Doing Business As | COASTAL ENT MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WILLIAM S. HALSEY President 858-458-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA g30707) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-11-25 |