NPI | 1437340684 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN WAYNE GOODYEAR Owner 318-255-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 201086) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |