Liberty Circle Ear Nose & Throat Inc.

NPI #1245285758 in Proctorville, Ohio

Provider Information

NPI Number: 1245285758
Entity Type: Organization
Organization Name: Liberty Circle Ear Nose & Throat Inc.
Primary Specialty: Otolaryngology
Enumeration Date: May 23, 2006
Last Updated: Oct 17, 2007

Practice Location

Address: 96 TOWNSHIP ROAD 369 SUITE 101
City: Proctorville
State: Ohio
ZIP Code: 45669
Phone: (740) 886-9370

Authorized Official

Name: DR. ARTURO RICARDO ROA, M.D.
Title: SOLE MEMBER/MEDICAL DIRECTOR
Phone: (740) 886-9370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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