NPI | 1215685136 |
---|---|
Doing Business As | MYOBGYN |
Entity Type | Organization |
Authorized Contact | HEATHER BACALA Physician 702-463-2981 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2022-03-10 |
Last Update Date | 2022-03-10 |