| NPI | 1659010445 |
|---|---|
| Doing Business As | GIBSON AREA HOSPITAL UROGYNECOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ERTEL CFO 217-784-2601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-07-07 |