| NPI | 1255579421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E P REID Owner 866-885-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2011-04-15 |