| NPI | 1669202198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE SATTERFIELD President 541-301-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |