| NPI | 1760459952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M. KILLINGSWORTH Owner 479-890-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-12-15 |