NPI | 1215908827 |
---|---|
Entity Type | Organization |
Authorized Contact | P. CLARK BRITTAIN Owner 812-331-9160 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-01-31 |
Last Update Date | 2007-10-18 |