Organization
EAR NOSE THROAT HEAD & NECK SURGERY OF HUNTSVILLE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACI KRAUSE (OFFICE MANAGER)
(256) 881-5353
Entity
Organization
Contact information
Practice address
201 WHITESPORT DR SW, HUNTSVILLE, AL 35801-6449
(256) 881-5353
(256) 881-0712
Mailing address
201 WHITESPORT DR SW, HUNTSVILLE, AL 35801-6449
(256) 881-5353
(256) 881-0712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529910620
—
AL
Enumeration date
11/29/2006
Last updated
05/13/2021
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