NPI | 1821018250 |
---|---|
Doing Business As | WOMANS CLINIC |
Entity Type | Organization |
Authorized Contact | ROBERT IDESON Practice Manager 765-428-5888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-07-20 |
Last Update Date | 2011-10-04 |