| NPI | 1356596845 |
|---|---|
| Doing Business As | PPGWNI |
| Entity Type | Organization |
| Authorized Contact | KARL A EASTLUND CEO 866-904-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA 14134) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2022-07-21 |