| NPI | 1780776633 |
|---|---|
| Doing Business As | MASDON ENT PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GARY R GORE CEO 256-593-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: AL 10383) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |