| NPI | 1104184522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER G VAN OOSTEN Owner 520-459-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 36571) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-11-13 |