| NPI | 1386808095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GERALD SHOFF Owner Healthcare Provider 270-765-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |