| NPI | 1871592055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B BRUCE Medical Doctor 570-523-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD023535E) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-01-14 |