NPI | 1538215546 |
---|---|
Other Name | PHYSICIANS & SURGEONS CLINIC |
Entity Type | Organization |
Authorized Contact | MICHELLE SAGELY Provider Enrollment 662-256-9331 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-02-21 |