NPI | 1164188603 |
---|---|
Doing Business As | MAGNOLIA BREAST CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM MATTHEW FIGLESTHALER President 239-597-4440 |
Organization Subpart ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
Enumeration Date | 2021-11-09 |
Last Update Date | 2021-11-09 |