NPI | 1295175396 |
---|---|
Entity Type | Organization |
Authorized Contact | LANA GIACOMELLI Practice Administrator 971-373-8007 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2013-07-03 |
Last Update Date | 2023-04-28 |