| NPI | 1720055882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEDY L DARISTOTLE President 304-366-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WV WV14772) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: WV 398) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2012-10-26 |