NPI | 1891945440 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA LASTER Office Mgr 662-563-2608 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
Enumeration Date | 2008-09-19 |
Last Update Date | 2008-09-19 |