| NPI | 1588849491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELWOOD PAUL REID CEO 866-885-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208600000X Surgery | |
| 207L00000X Anesthesiology | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-08-11 |