| NPI | 1255788758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON MICHAEL LINGENFELTER Owner 681-282-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 3064) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-02-16 |