| NPI | 1497852610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN M TIPLADY Nurse 386-255-0901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0039128) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-08-21 |