| NPI | 1992038129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK PAUL SHULTZ President 870-405-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E4623) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2023-03-07 |