| NPI | 1699966325 |
|---|---|
| Doing Business As | GENESIS OBSTETRICS & GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | BRUCE BLAND BANIAS Physician Business Owner 932-293-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35052271) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 3562520C) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |