| NPI | 1659565695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MEAD GAUNT Owner, Physician 660-827-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO R4A061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R8919) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2010-11-01 |