| NPI | 1740381342 |
|---|---|
| Doing Business As | DEVORE ENT |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE DEVORE President 937-312-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-02-23 |