| NPI | 1073899753 |
|---|---|
| Doing Business As | PREMIER HEALTHCARE FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | ROBERT IDESON Administrator 765-428-5888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |