Organization · Type 2 NPI
Southeast Alabama Ent Head & Neck
Otolaryngology/Facial Plastic Surgery Physician · Dothan, AL
NPI number
1528075447
Active
Practice location
1118 Rose Clark Circle, Ste 210
Dothan, AL 36301
Fax (334) 677-7749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 00025142 (AL) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1528075447
Southeast Alabama Ent Head & Neck's National Provider Identifier is 1528075447, issued on Aug 2, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Dothan, AL. The record was last updated on Aug 22, 2020.