Ear Nose & Throat Specialists of Rockford Sc
NPI #1740491745 in Rockford, Illinois
Provider Information
- NPI Number
- 1740491745
- Entity Type
- Organization
- Organization Name
- Ear Nose & Throat Specialists of Rockford Sc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 24, 2007
- Last Updated
- Mar 27, 2012
Practice Location
Authorized Official
- Name
- DR. JAMES MELVIN SEVERSON III, MD
- Title
- MEDICAL DOCTOR
- Phone
- (815) 399-5268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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