| NPI | 1699782334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY LIZAK Physician 910-754-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: NC 35160) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-07-24 |