| NPI | 1013497213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY PETRIKOVETS Owner 888-487-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A127810) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-12-04 |