Organization Name: | OTOLARYNGOLOGY HEAD & NECK SURGERY, P.A,. |
NPI Number: | 1609019363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA N. MALONE (PRESIDENT) |
Mailing Address: | 2080 Woodwinds Dr Ste 240 Woodbury |
State: | MN US |
Postal Code: | 551252539 |
Phone Number: | 6517020750 |
Fax Number: | 6516456166 |
NPI Enumeration Date: | 04/10/2009 |
NPI Last Update Date: | 04/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 20 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |