| NPI | 1831314046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA L THATCH President 618-288-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 36980) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-04-20 |