NPI | 1396746624 |
---|---|
Former Legal Business Name | SOUTHWEST WOMEN'S CARE, PC |
Entity Type | Organization |
Authorized Contact | CHRISTIE BANDA Credentialing 480-505-4258 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2005-08-09 |
Last Update Date | 2014-11-18 |