NPI | 1346398245 |
---|---|
Former Name | MARCIA LYNN MCGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A84671) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A84671) |
208C00000X Colon & Rectal Surgery (Licence: MA 244029) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2022-07-21 |