| NPI | 1902626922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GALLEGOS Executive Director 701-610-0553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |