NPI | 1265533350 |
---|---|
Former Legal Business Name | MEDICAL OFFICE |
Entity Type | Organization |
Authorized Contact | CORTEZ EVON MCFARLAND Physician Owner 501-666-4294 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-11-28 |