NPI | 1306737580 |
---|---|
Doing Business As | EVOLVE OBGYN |
Entity Type | Organization |
Authorized Contact | BREA SHRUM Physician/Sole Member 208-261-1380 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2025-07-14 |
Last Update Date | 2025-08-19 |