| NPI | 1477184398 |
|---|---|
| Doing Business As | SANCTUM MED |
| Entity Type | Organization |
| Authorized Contact | JESSICA A. SHEPHERD Managing Member 972-248-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-12-22 |