| NPI | 1912793589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK BRINEGAR Director 667-214-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |