| NPI | 1265834717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN W LANS Chief Operating Officer / Member 267-252-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-02-07 |