| NPI | 1588063747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR G DRISCOLL Physician/Owner 928-783-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AZ 14982) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-01-05 |