| NPI | 1184296162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOCHI AMAGWULA Owner 870-454-4354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2021-07-20 |