| 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 |