| NPI | 1497824106 |
|---|---|
| Former Legal Business Name | MADISON WOMEN'S CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRUCE CLINTON BARTON Managing Partner 208-356-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-02-13 |