| NPI | 1003193756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN E ALTENHOFEN Physician 850-475-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0046652) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-28 |