| NPI | 1740233733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ALLEN DEMPEWOLF Owner 580-226-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology Otolaryngic Allergy (Licence: OK 20353) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |