| NPI | 1104851104 |
|---|---|
| Doing Business As | WESTERN BRANCH OB/GYN |
| Entity Type | Organization |
| Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-05-29 |