| NPI | 1821326745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BELL Practice Administrator 779-301-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: IL 036061543) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2021-10-04 |