NPI | 1710190103 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE A STRUXNESS Physician/Owner 360-693-7878 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30003214) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2011-09-29 |