| NPI | 1598544975 |
|---|---|
| Doing Business As | CAMC PEDIATRIC & ADULT ENT |
| Entity Type | Organization |
| Authorized Contact | BRYAN LUZADER Provider Enrollment Manager 304-388-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |