| NPI | 1750581880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE SUREK Owner 225-658-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA DO000011) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-20 |