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A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1164600243 |
| LBN Legal business name | NORTHWEST GYNECOLOGY ASSOCIATES,LLC |
| Authorized official | BRIGETTE KREVANKO - (OFFICE/BILLING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/31/2008 |
| Last updated | 01/31/2008 - About 18 years ago |
| Identifiers | n/a |
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NORTHWEST GYNECOLOGY ASSOCIATES,LLC