| NPI | 1932278702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED SHIVERS COO 415-476-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |