| NPI | 1760852503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY REESE BISCHOFF Owner/Manager 415-233-3406 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA 201997) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |