| NPI | 1578351235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |