| NPI | 1043219637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2009-11-09 |