Organization
EAR NOSE & THROAT SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDITH SKOW (OFFICE MANAGER)
(805) 541-2368
Entity
Organization
Contact information
Practice address
901 OAK PARK BLVD., STE. 202, PRISMO BEACH, CA 93449-3410
(805) 541-2368
Mailing address
895 AEROVISTA PL., STE. 103, SAN LUIS OBISPO, CA 93401-8725
(805) 481-1368
(805) 481-8013
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G52842
CA
Other
Enumeration date
02/12/2008
Last updated
09/18/2013
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