| NPI | 1790784734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY BARKER President 870-424-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 231H00000X Audiologist | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-16 |