| NPI | 1619405404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY PENNINGTON Sole Mbr 505-715-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: LA 205826) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |