# SAINT BLAISE EAR NOSE AND THROAT PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144305475
- **Authorized official:** DR. WILLIAM ARNOLD PINCUS MD (PRESIDENT)
- **Authorized official phone:** (336) 883-2765

## Contact information

- **Practice address:** 9936 US HIGHWAY 311, ARCHDALE, NC 27263-8826
- **Practice address phone:** (336) 883-2765
- **Practice address fax:** (336) 883-9066
- **Mailing address:** 9936 US HIGHWAY 311, ARCHDALE, NC 27263-8826
- **Mailing address phone:** (336) 883-2765
- **Mailing address fax:** (336) 883-9066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 07/10/2008
