NPI | 1013072883 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNARD L HAYDEN Doctor 270-554-0797 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 16249) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2007-07-19 |