| NPI | 1023325115 |
|---|---|
| Doing Business As | PPGWNI |
| Entity Type | Organization |
| Authorized Contact | KIM NELSON Finance Director 866-904-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2017-04-24 |