NPI | 1639786122 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LEIGHTON HOWARD CEO 888-224-0804 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
261Q00000X Clinic/Center | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2024-10-28 |