| NPI | 1962698506 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | DAVID REDWINE President 541-382-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR 09578) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR 26659) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |