| NPI | 1992772180 |
|---|---|
| Doing Business As | PAVILION OB/GYN |
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD Vice President 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-05-24 |