NPI | 1972610442 |
---|---|
Entity Type | Organization |
Authorized Contact | T. CLIFFORD DEVENY President 330-996-8603 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology |
363A00000X Physician Assistant | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2008-03-03 |