| NPI | 1700201407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PATRICK PORTO Owner 515-222-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: IA 27404) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |