NPI | 1326135849 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL BRIAN GUARD Office Manager 501-801-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR C8487) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-08-22 |