NPI | 1861506289 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC BRYAN LEAVITT President 509-928-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
Enumeration Date | 2006-08-19 |
Last Update Date | 2022-05-03 |