| NPI | 1659718922 |
|---|---|
| Doing Business As | PINEWEST OB-GYN AT PREMIER |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hs Cmo 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2021-09-02 |