NPI | 1659561983 |
---|---|
Entity Type | Organization |
Authorized Contact | KURT K KANTZLER President/Owner 256-543-2867 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: AL DO.637) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL DO.638) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2007-10-26 |