| NPI | 1932834082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PEARSON Revenue Cycle Mgr 267-843-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-10-31 |