NPI | 1609054170 |
---|---|
Entity Type | Organization |
Authorized Contact | MILESH HUBBARD HUMPHREY Owner 208-734-4670 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M3006) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2008-02-26 |