| NPI | 1780608331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN J HOELDTKE President/ CEO 731-541-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-06-26 |