| NPI | 1700434420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LYNN SEGURA Practice Manager 804-323-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-29 |