NPI | 1962535252 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CLAYTON JARCHOW Medical Doctor 704-782-7111 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NC 39284) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2015-03-11 |