| NPI | 1639511819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID HANSILL Physician 541-889-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD153764) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2015-07-14 |