NPI | 1992460794 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE H SMALL Owner 909-528-3639 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2021-11-05 |
Last Update Date | 2021-11-06 |