NPI | 1619852308 |
---|---|
Doing Business As | PRIME WELLNESS |
Entity Type | Organization |
Authorized Contact | BENJAMIN JOSEPH BARENBERG Owner 405-992-3080 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
Enumeration Date | 2025-08-11 |
Last Update Date | 2025-08-11 |