NPI | 1093152589 |
---|---|
Entity Type | Organization |
Authorized Contact | UTHMAN CAVALLO Owner/President 574-273-3880 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207R00000X Internal Medicine |
363L00000X Nurse Practitioner | |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2013-05-24 |
Last Update Date | 2016-09-23 |