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 |