| NPI | 1679761704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L BAILEY Owner 928-763-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-05-20 |