NPI | 1669686606 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES O. SLOCUMB President 209-576-3832 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA C30130) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2009-01-26 |