| NPI | 1659929040 |
|---|---|
| Doing Business As | ENT ASSOCIATES OF ROSEBURG, LLC |
| Entity Type | Organization |
| Authorized Contact | RANDALL BP LOCH Owner 209-541-5692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |