| NPI | 1346324514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEODORA BALQUIEDRA ELIZAGA President 740-282-5349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.037113) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-04-20 |