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 |