NPI | 1578754487 |
---|---|
Doing Business As | SHERIDAN EAR NOSE & THROAT |
Entity Type | Organization |
Authorized Contact | SCOTT N BATEMAN Owner 307-672-0290 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WY 5710A) |
Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: WY 5710A) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2012-11-06 |