| NPI | 1730539974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALON MANINGAS Member 417-540-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: MO 2012005133) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |