| NPI | 1619028222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MASTROS Office Manager 740-266-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OH 68080) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-09-09 |