Southeastern Ohio Otolaryngology, Inc.

NPI #1821200080 in Zanesville, Ohio

Provider Information

NPI Number
1821200080
Entity Type
Organization
Organization Name
Southeastern Ohio Otolaryngology, Inc.
Primary Specialty
Otolaryngology
Enumeration Date
May 3, 2007
Last Updated
Jan 9, 2014

Practice Location

Address
930 BETHESDA DR. BLDG 4
State
Ohio
ZIP Code
43701-0815
Phone
(740) 455-6202

Authorized Official

Name
DR. JACK B BOOTH, M.D.
Title
PRESIDENT
Phone
(740) 455-6202

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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