NPI | 1912622333 |
---|---|
Doing Business As | GRAND VALLEY ENT & FACIAL PLASTIC SURGEONS |
Entity Type | Organization |
Authorized Contact | CHRISTIAN THOMAS President/CEO 970-644-3011 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 207Y00000X Otolaryngology |
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-10-07 |
Last Update Date | 2022-11-29 |