| NPI | 1750434403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP MARK MILGRAM Owner 619-422-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A35411) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |