| NPI | 1699881862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART BLAIR TOLAR President 270-443-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-05-19 |