| NPI | 1538329750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J FOLKESTAD Owner 623-561-7250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 19824) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |