| NPI | 1902179914 |
|---|---|
| Doing Business As | ADVANCED SPECIALTY CARE FOR WOMEN |
| Entity Type | Organization |
| Authorized Contact | GARY N GREGERSON Sole Owner 208-468-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-6312) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2014-01-15 |