Organization · Type 2 NPI
Entegrative Otolaryngology PC
Otolaryngology/Facial Plastic Surgery Physician · Santa Rosa, CA
NPI number
1417294174
Active
Practice location
1144 Sonoma Ave Ste 101
Santa Rosa, CA 95405-4812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | C3527438 (CA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Other otolaryngology/facial plastic surgery physician providers in Santa Rosa
About NPI 1417294174
Entegrative Otolaryngology PC's National Provider Identifier is 1417294174, issued on Jan 14, 2013. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 14, 2013.