NPI | 1164415766 |
---|---|
Doing Business As | WOMENS CARE CENTER MEDICAL SERVICES |
Entity Type | Organization |
Authorized Contact | BRENDA E NEWPORT Executive Director 814-836-7505 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD042517E) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP002262G) |
261Q00000X Clinic/Center | |
Enumeration Date | 2005-08-30 |
Last Update Date | 2020-08-22 |