NPI | 1679588362 |
---|---|
Doing Business As | ST. JOSEPH WOMEN'S CLINIC |
Entity Type | Organization |
Authorized Contact | STEPHEN SPARE Chief Medical Officer 253-779-6101 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
Enumeration Date | 2006-07-30 |
Last Update Date | 2012-01-25 |